Healthcare Provider Details

I. General information

NPI: 1306904289
Provider Name (Legal Business Name): JOHN THOMAS OIAN D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/05/2006
Last Update Date: 04/25/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16835 ALKALI DR SUITE M
LEMOORE CA
93245-9463
US

IV. Provider business mailing address

2740 HERNDON AVE
CLOVIS CA
93611-6813
US

V. Phone/Fax

Practice location:
  • Phone: 559-924-0460
  • Fax: 559-924-2197
Mailing address:
  • Phone: 559-299-4264
  • Fax: 559-299-1421

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberCA24245
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: