Healthcare Provider Details

I. General information

NPI: 1164334090
Provider Name (Legal Business Name): JAIME A. ONEILL DDS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4139 N HOLLAND SYLVANIA RD
TOLEDO OH
43623-3538
US

IV. Provider business mailing address

4139 N HOLLAND SYLVANIA RD
TOLEDO OH
43623-3538
US

V. Phone/Fax

Practice location:
  • Phone: 419-536-9196
  • Fax:
Mailing address:
  • Phone: 419-536-9196
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: JAIME O'NEILL
Title or Position: OWNER
Credential: DDS
Phone: 419-860-3662