Organization
CEDAR RAPIDS DENTAL ENTERPRISES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAUN O'NEILL DDS (OWNER/CEO)
(608) 289-2540
Entity
Organization
Contact information
Practice address
1260 3RD AVE SE, CEDAR RAPIDS, IA 52403-4083
(608) 289-2540
Mailing address
3020 AURORA AVE, SPIRIT LAKE, IA 51360-7097
(608) 289-2540
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/14/2026
Last updated
05/14/2026
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