| Kevin J. O'neill, D.d.s., M.s.d., Inc. | |
|
10 Sierra Gate Plz Suite #190 Roseville CA 95678-6645 | |
| (916) 786-3303 | |
| (916) 786-3309 |
| Full Name | Kevin J. O'neill, D.d.s., M.s.d., Inc. |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 10 Sierra Gate Plz, Roseville, California |
| Authorized Official Name and Position | Kevin James O'neill (DOCTOR/ OWNER) |
| Authorized Official Contact | 9167863303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin J. O'neill, D.d.s., M.s.d., Inc. 10 Sierra Gate Plz Suite #190 Roseville CA 95678-6645 Ph: (916) 786-3303 | Kevin J. O'neill, D.d.s., M.s.d., Inc. 10 Sierra Gate Plz Suite #190 Roseville CA 95678-6645 Ph: (916) 786-3303 |
| NPI Number | 1194980284 |
|---|---|
| Provider Enumeration Date | 07/28/2008 |
| Last Update Date | 07/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194980284 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 25963 (California) | Primary |
| 1223E0200X | Dentist - Endodontics | 39553 (California) | Secondary |
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