Provider Demographics
NPI:1790953487
Name:O'NEILL, DANIELA RUXANDRA (DMD)
Entity Type:Individual
Prefix:DR
First Name:DANIELA
Middle Name:RUXANDRA
Last Name:O'NEILL
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 1:8 STILES RD
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:NH
Mailing Address - Zip Code:03079-2847
Mailing Address - Country:US
Mailing Address - Phone:603-894-5494
Mailing Address - Fax:603-894-7331
Practice Address - Street 1:8 STILES RD
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:NH
Practice Address - Zip Code:03079-2847
Practice Address - Country:US
Practice Address - Phone:603-894-5494
Practice Address - Fax:603-894-7331
Is Sole Proprietor?:No
Enumeration Date:2008-02-14
Last Update Date:2009-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA21361122300000X
NH037051223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist