Individual
DR. JOE DEAN O'NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1331 UNION AVE STE 1225, MEMPHIS, TN 38104-7551
(901) 276-7314
(901) 276-6028
Mailing address
1331 UNION AVE STE 1225, MEMPHIS, TN 38104-7551
(901) 276-7314
(901) 276-6028
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3438
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1336286137
TENNCARE
TN
Enumeration date
01/31/2007
Last updated
05/18/2012
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