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NPI Code Detail

MEDICARE: DR. DONALD GATES ONEAL DDS

MEDICARE: DR. DONALD GATES ONEAL DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry12873TX

General Provider Information

NPI Number : 1164498028
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DONALD GATES ONEAL DDS
Provider Business Mailing Address
First Line : 2904 N 4TH ST
Second Line : SUITE 106
City : LONGVIEW
State : TX
Zip : 75605-5129
Country : US
Telephone Number : 903-758-3200
Fax Number : 903-234-8735
Provider Business Practice Location Address
First Line : 2904 N 4TH ST
Second Line : SUITE 106
City : LONGVIEW
State : TX
Zip : 75605-5129
Country : US
Telephone Number : 903-758-3200
Fax Number : 903-234-8735
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2006
Last Update Date : 07/08/2007

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Directions to “ DR. DONALD GATES ONEAL DDS” Practice Location

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