O'Neill, James Terrence

O'Neill, James Terrence is an individual health care provider with primary practice located at 7845 Carnegie Blvd , Fort Wayne IN 46804. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. O'Neill, James Terrence can be contacted via phone (260) 423-2340.

Contact Information

Primary practice address
7845 Carnegie Blvd Fort Wayne IN 46804
Phone: (260) 423-2340
Fax: (260) 969-4118
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 12010974A Indiana
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 12010974A Indiana

Profile Details

NPI number 1376701045
LBN Legal business name O'Neill, James Terrence
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2008
Last updated Jul 9th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376701045 NPPES
Indiana MEDICAID 2010252480
Indiana Other H192110

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