Individual
DR. DEANNA LYNN O'NEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
103 S EDDY ST, SOUTH BEND, IN 46617-3101
(574) 288-4400
(574) 288-5437
Mailing address
103 S EDDY ST, SOUTH BEND, IN 46617-3101
(574) 288-4400
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
12011222A
IN
1223P0221X
Pediatric Dentistry
5026015
WI
Other
Enumeration date
08/21/2006
Last updated
01/29/2013
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