Provider Demographics
NPI:1548307333
Name:O'NEILL, MEGAN V (DDS)
Entity type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:V
Last Name:O'NEILL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:MEGAN
Other - Middle Name:V
Other - Last Name:NIPPERT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:8001 TOWNSHIP ROAD 574
Mailing Address - Street 2:
Mailing Address - City:HOLMESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44633-9751
Mailing Address - Country:US
Mailing Address - Phone:330-674-0075
Mailing Address - Fax:
Practice Address - Street 1:8001 TOWNSHIP ROAD 574
Practice Address - Street 2:
Practice Address - City:HOLMESVILLE
Practice Address - State:OH
Practice Address - Zip Code:44633-9751
Practice Address - Country:US
Practice Address - Phone:330-674-0075
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-31
Last Update Date:2013-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH016779122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0477489Medicaid