Individual
DR. CASEY O'NEILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S, M.S.
Contact information
Practice address
56825 VENTURE LN, SUITE 107, SUNRIVER, OR 97707-2160
(541) 593-0113
(541) 593-4483
Mailing address
PO BOX 3814, SUNRIVER, OR 97707-0814
(541) 593-0113
(541) 593-4483
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D9361
OR
Other
Enumeration date
12/17/2009
Last updated
12/17/2009
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