Organization
LARRY J ONEILL DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY J ONEILL DMD (PRESIDENT)
(303) 646-3935
Entity
Organization
Contact information
Practice address
779 CROSSROADS CIRCLE, ELIZABETH, CO 80107-2466
(720) 646-3935
(303) 379-5380
Mailing address
779 CROSSROADS CR, ELIZABETH, CO 80107-2466
(303) 646-3935
(303) 379-5380
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1386905057
NPPES
—
01
—
1760084826
NPPES
—
Enumeration date
11/13/2020
Last updated
03/25/2021
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