Provider Demographics
NPI:1386850758
Name:ONEAL, RONALD BRIAN (DMD)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:BRIAN
Last Name:ONEAL
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7401 DR MARTIN LUTHER KING JR ST N
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33702-5203
Mailing Address - Country:US
Mailing Address - Phone:727-527-7207
Mailing Address - Fax:727-528-1558
Practice Address - Street 1:7401 DR MARTIN LUTHER KING JR ST N
Practice Address - Street 2:
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33702-5203
Practice Address - Country:US
Practice Address - Phone:727-527-7207
Practice Address - Fax:727-528-1558
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN16036122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist