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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. CASEY O'NEILL, D.D.S, M.S.

Active Sole Proprietor

DR. CASEY O'NEILL, D.D.S, M.S. is a Orthodontics healthcare provider located in SUNRIVER, Oregon. NPI 1912236142 is currently active in the NPPES registry. Verify at CMS.

Orthodontics · SUNRIVER, OR

Registration Details

NPI Number
1912236142
Provider Type
Individual
Gender
Male
NPI Issued
Dec 17, 2009 (16.615366644762 yrs)
Last Updated
Dec 17, 2009
License
D9361 (OR)
Sole Proprietor
Yes

Practice Information

Address
56825 VENTURE LN
SUITE 107
SUNRIVER, OR, 977072160
Browse OR providers · Browse ZIP 97707
Phone
5415930113
Fax
5415934483
Primary Specialty
Orthodontics
1223X0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.