Individual provider · Type 1 NPI
Casey O'Neill, D.D.S, M.S.
Orthodontics and Dentofacial Orthopedics Dentistry · Sunriver, OR
Practice location
56825 Venture Ln, Suite 107
Sunriver, OR 97707-2160
Fax (541) 593-4483
Mailing address
PO Box 3814
Sunriver, OR 97707-0814
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | D9361 (OR) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
About NPI 1912236142
Casey O'Neill, D.D.S, M.S.'s National Provider Identifier is 1912236142, issued on Dec 17, 2009. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Sunriver, OR. The record was last updated on Dec 17, 2009.