| Dr. Kelly D. O'neal, D.d.s. | |
|
415 W Rockrimmon Blvd Suite 200 Colorado Springs CO 80919-1776 | |
| (719) 599-5340 | |
| (719) 598-0275 |
| Full Name | Dr. Kelly D. O'neal, D.d.s. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 415 W Rockrimmon Blvd, Colorado Springs, Colorado |
| Authorized Official Name and Position | Kelly Donald O'neal (DENTIST) |
| Authorized Official Contact | 7195995340 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Kelly D. O'neal, D.d.s. 415 W Rockrimmon Blvd Suite 200 Colorado Springs CO 80919-1776 Ph: (719) 599-5340 | Dr. Kelly D. O'neal, D.d.s. 415 W Rockrimmon Blvd Suite 200 Colorado Springs CO 80919-1776 Ph: (719) 599-5340 |
| NPI Number | 1013256718 |
|---|---|
| Provider Enumeration Date | 01/31/2013 |
| Last Update Date | 01/31/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013256718 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6086 (Colorado) | Primary |
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Co Specialty Dental Services Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 S Tejon St Ste 200, Colorado Springs, CO 80903 Phone: 719-596-3113 | |
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