Organization
LARRY J ONEILL DMD PC
Active
Other names
Twin Aspen Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY J ONEILL DMD (PRESIDENT)
(303) 646-3935
Entity
Organization
Contact information
Practice address
779 CROSSROADS CR, ELIZABETH, CO 80107-2466
(303) 646-3935
(303) 379-5380
Mailing address
779 CROSSROADS CIRCLE, #2466, ELIZABETH, CO 80107-2466
(720) 646-3953
(303) 379-5380
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
332BC3200X
Customized Equipment (DME)
7544
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174521348
NPPES
—
01
—
1386905057
NPPES
—
01
—
1760084826
NPPES
—
Enumeration date
05/30/2012
Last updated
04/06/2021
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