Provider Demographics
NPI:1659584217
Name:ONEILL, JOHN JOSEPH II (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:JOSEPH
Last Name:ONEILL
Suffix:II
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:345 F ST
Mailing Address - Street 2:STE 290
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91910-2649
Mailing Address - Country:US
Mailing Address - Phone:619-420-4523
Mailing Address - Fax:619-420-1623
Practice Address - Street 1:345 F ST
Practice Address - Street 2:STE 290
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91910-2649
Practice Address - Country:US
Practice Address - Phone:619-420-4523
Practice Address - Fax:619-420-1623
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA24322122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist