IndividualActive
Casey O'Neill, D.D.S, M.S.
NPI 1912236142 · Orthodontics and Dentofacial Orthopedics Dentistry · Sunriver, OR
Provider details
- NPI number
- 1912236142
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- D.D.S, M.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- D9361 (OR)
Practice location
56825 Venture Ln
Suite 107
Sunriver, OR 97707-2160
Phone: (541) 593-0113
Fax: (541) 593-4483
Mailing address
Po Box 3814
Sunriver, OR 97707-0814
Registry dates
- Enumerated
- 2009-12-17
- Last updated
- 2009-12-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.