Thomas R O'neil, Dds, PA

NPI #1982962130 in Tamarac, Florida

Provider Information

NPI Number: 1982962130
Entity Type: Organization
Organization Name: Thomas R O'neil, Dds, PA
Subpart: Yes (part of a larger organization)
Parent Organization: THOMAS R O'NEIL, DDS, PA
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 25, 2012
Last Updated: Apr 25, 2012

Practice Location

Address: 7707 N UNIVERSITY DR
Address 2: SUITE 201
City: Tamarac
State: Florida
ZIP Code: 33321-2950
Phone: (954) 720-9570

Authorized Official

Name: PAM HARDIEK
Title: INSURANCE/CREDENTIALING
Phone: (217) 540-5100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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