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Individual

DR. JAMES TERRENCE O'NEILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
12010974A
IN
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
12010974A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2010252480
IN
01
H192110
MEDICAREPTAN
OH
Enumeration date
05/29/2008
Last updated
01/15/2026
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