Individual
MICHAEL P. O'NEIL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
12953 PUBLISHERS DR, SUITE 100, FISHERS, IN 46038-8811
(317) 849-2933
(317) 849-2921
Mailing address
12953 PUBLISHERS DR, SUITE 100, FISHERS, IN 46038-8811
(317) 849-2933
(317) 849-2921
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12009413
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12009413
STATE LICENSE NUMBER
IN
Enumeration date
06/13/2006
Last updated
07/08/2007
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