Provider Demographics
NPI:1609847961
Name:SOLANKY, O'NEILL SIDNEY (DDS)
Entity type:Individual
Prefix:DR
First Name:O'NEILL
Middle Name:SIDNEY
Last Name:SOLANKY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:426 LANCASTER DR NE
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97301
Mailing Address - Country:US
Mailing Address - Phone:503-364-3980
Mailing Address - Fax:503-364-1608
Practice Address - Street 1:426 LANCASTER DR NE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301-4728
Practice Address - Country:US
Practice Address - Phone:503-364-3980
Practice Address - Fax:503-364-1608
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-26
Last Update Date:2015-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORD82781223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice