NPI 1912236142 · live from the CMS NPI Registry
Casey O'Neill, D.D.S, M.S.
Dentist, Orthodontics and Dentofacial Orthopedics in Sunriver, OR. National Provider Identifier 1912236142, active.
NPI record
| NPI | 1912236142 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 56825 Venture Ln, Suite 107, Sunriver, OR 97707 |
| Practice phone | 541-593-0113 |
| Mailing address | Po Box 3814, Sunriver, OR 97707 |
| Enumerated | December 17, 2009 |
| Last updated | December 17, 2009 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | D9361 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.