Individual
DR. LARRY J ONEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
779 CROSSROADS CR, ELIZABETH, CO 80107-7466
(303) 646-3935
(303) 379-5380
Mailing address
PO BOX 2466, ELIZABETH, CO 80107-2466
(303) 646-3935
(303) 379-5380
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7544
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1170084826
NPPES
—
Enumeration date
07/12/2005
Last updated
04/07/2021
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