IndividualActive
Deanna O'Neil, DDS
NPI 1508972837 · Pediatric Dentistry · South Bend, IN
Provider details
- NPI number
- 1508972837
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- License
- 5026015 (WI)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
103 S Eddy St
South Bend, IN 46617-3101
Phone: (574) 288-4400
Fax: (574) 288-5437
Approximate (ZIP-level) locationGet directions
Mailing address
103 S Eddy St
South Bend, IN 46617-3101
Registry dates
- Enumerated
- 2006-08-21
- Last updated
- 2013-01-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.