Provider Demographics
NPI:1437377769
Name:O'NEAL, ADRIAN CHERIA (DMD)
Entity Type:Individual
Prefix:DR
First Name:ADRIAN
Middle Name:CHERIA
Last Name:O'NEAL
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 RIVER CLOSE
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30075-4858
Mailing Address - Country:US
Mailing Address - Phone:678-461-8678
Mailing Address - Fax:770-441-0299
Practice Address - Street 1:770 HOLCOMB BRIDGE RD
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076-1618
Practice Address - Country:US
Practice Address - Phone:678-836-2102
Practice Address - Fax:770-441-0299
Is Sole Proprietor?:No
Enumeration Date:2007-04-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA133961223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics