institution
Larry J Oneill Dmd Pc
Customized Equipment (DME) in Elizabeth, Colorado
NPI 1386905057

Larry J Oneill Dmd Pc is a Customized Equipment (DME) based in Elizabeth, CO and is specialized in Customized Equipment. Larry J Oneill Dmd Pc practices in Elizabeth, CO. The NPI Number for Larry J Oneill Dmd Pc is 1386905057 and holds a License No. (Colorado).

The current practice location address for Larry J Oneill Dmd Pc is 779 Crossroads Cr, Elizabeth, CO and can be reached out via phone at 303-646-3935 and via fax at 303-379-5380.

Location: 779 Crossroads Cr, Elizabeth, CO, 80107-2466
institution
Provider Profile Details
NPI Number
1386905057
Provider Name
Larry J Oneill Dmd Pc
Credential
Provider Entity Type
Organization
Address
779 Crossroads Cr, Elizabeth, CO, 80107-2466
Phone Number
303-646-3935
Fax Number
303-379-5380
Provider Enumeration Date
05/30/2012
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1386905057 01 NPPES
1174521348 01 NPPES
1760084826 01 NPPES
institution
Provider Business Practice Location Address Details
Address
779 Crossroads Cr
City
State
Zip
80107-2466
Phone Number
303-646-3935
Fax Number
303-379-5380
person
Provider Business Mailing Address Details
Address
779 Crossroads Cr
City
State
Zip
80107-2466
Phone Number
303-646-3935
Fax Number
303-379-5380
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
7544 (Colorado)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
License No.
()
Definition
Definition to come...
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