DR. DEANNA LYNN O'NEIL (NPI# 1508972837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508972837 |
| Entity Type | Individual |
| Full Name | DR. DEANNA LYNN O'NEIL |
| Credential | DDS |
| Practice Address |
103 S Eddy St South Bend IN 46617-3101 |
| Practice Telephone | 5742884400 |
| Practice Fax Number | 5742885437 |
| Mailing Telephone | 5742884400 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2013-01-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
12011222A | IN | Dental Providers |
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
5026015 | WI | Dental Providers |
| Street Address |
103 S EDDY ST |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46617-3101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740731116 | Jack Mcintyre Kimmell | Specialist/Technologist | 1526 East Lasalle, South Bend, IN 46617 | 2016-10-20 |
| 1023429115 | Morning View Assisted Living LLC | Assisted Living Facility | 475 N. Niles Avenue, South Bend, IN 46617 | 2014-05-12 |
| 1265861231 | Rebecca Busenbark | Physical Therapist | 401 E Colfax Ave Ste 102, South Bend, IN 46617 | 2013-11-11 |
| 1962709071 | Doreen Danice Huddleston | Social Worker | 928 East Wayne St, Suit C, South Bend, IN 46617 | 2011-02-25 |
| 1487981734 | Mary Cecilia Roemer | Marriage & Family Therapist | 616 E. Colfax Ave, South Bend, IN 46617 | 2009-11-06 |
| 1225264054 | Sridhar Meda | Dentist | 1005 East Lasalle Ave, South Bend, IN 46617 | 2009-06-08 |
| 1063673531 | Madeline Christina Watkins | Counselor | 616 E Colfax, South Bend, IN 46617 | 2008-06-18 |
| 1437366481 | Michael Reed Johns | Dentist | 103 South Eddy Street, South Bend, IN 46617 | 2007-05-17 |
| 1194937680 | Sarah Elizabeth Redman | Specialist/Technologist | 53880 Carmichael Dr., South Bend, IN 46617 | 2007-05-04 |
| 1124241211 | Trixy Franke | Family Medicine | 837 E. Cedar St., Ste 100, South Bend, IN 46617 | 2007-04-10 |
| Find all providers in zip 46617 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902111701 | Cara Ann Kilgore | Dentist | 3434 Douglas Rd, South Bend, IN 46635-1776 | 2010-08-17 |
| 1437366481 | Michael Reed Johns | Dentist | 103 South Eddy Street, South Bend, IN 46617 | 2007-05-17 |
| 1366579005 | South Bend Childrens Dentistry PC | Dentist | 103 S Eddy, South Bend, IN 46617 | 2007-02-28 |
| 1083645774 | Charles Rosenbaum | Dentist | 1005 E Lasalle Ave, South Bend, IN 46617-2818 | 2006-07-05 |
| 1750331229 | David Francis Fishbaugh | Dentist | 3434 E. Douglas Rd., South Bend, IN 46635 | 2006-05-12 |
| 1902395668 | Matthew Joseph Bernard | Dentist | 1005 E Lasalle Ave, South Bend, IN 46617-2818 | 2018-05-08 |
| 1083004063 | Stephen Spiritoso | Dentist | 3434 Douglas Rd, South Bend, IN 46635-1776 | 2015-01-29 |
| 1710274311 | Carter Matthew Mccrea | Dentist | 3434 Douglas Rd, South Bend, IN 46635-1776 | 2011-07-01 |
| 1588684997 | James Preisch | Dentist | 1005 E Lasalle Ave, South Bend, IN 46617-2818 | 2006-07-20 |
| 1568481950 | Gary R. Pippenger | Dentist | 1005 E Lasalle Ave, South Bend, IN 46617-2818 | 2006-07-18 |
| Find all providers in SOUTH BEND | ||||
| City | SOUTH BEND |
| Zip Code | 46617 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.