Individual
DR. BOB L ONEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11971 IRON BRIDGE ROAD, CHESTER, VA 23831
(804) 717-5275
(804) 748-4017
Mailing address
11971 IRON BRIDGE ROAD, CHESTER, VA 23831
(804) 717-5275
(804) 748-4017
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
4685
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005298
ANTHEM BCBS
—
01
—
005299
ANTHEM BCBS
—
01
—
086223
ANTHEM BCBS
—
01
—
619201
UNITED CONCORDIA
—
Enumeration date
07/12/2006
Last updated
07/08/2007
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