Provider Demographics
NPI:1295836419
Name:O'NEIL, ANN FRANCES (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANN
Middle Name:FRANCES
Last Name:O'NEIL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8500 W NORTH AVE
Mailing Address - Street 2:
Mailing Address - City:WAUWATOSA
Mailing Address - State:WI
Mailing Address - Zip Code:53226-2844
Mailing Address - Country:US
Mailing Address - Phone:414-258-1730
Mailing Address - Fax:414-476-7193
Practice Address - Street 1:8500 W NORTH AVE
Practice Address - Street 2:
Practice Address - City:WAUWATOSA
Practice Address - State:WI
Practice Address - Zip Code:53226-2844
Practice Address - Country:US
Practice Address - Phone:414-258-1730
Practice Address - Fax:414-476-7193
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI43921223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice