Basic Information
| Provider Information | |||||||||
| NPI: | 1306904289 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | OIAN | ||||||||
| FirstName: | JOHN | ||||||||
| MiddleName: | THOMAS | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | D.D.S. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2740 HERNDON AVE | ||||||||
| Address2: | |||||||||
| City: | CLOVIS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 936116813 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5592994264 | ||||||||
| FaxNumber: | 5592991421 | ||||||||
| Practice Location | |||||||||
| Address1: | 16835 ALKALI DR | ||||||||
| Address2: | SUITE M | ||||||||
| City: | LEMOORE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 932459463 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5599240460 | ||||||||
| FaxNumber: | 5599242197 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/05/2006 | ||||||||
| LastUpdateDate: | 04/25/2014 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1223G0001X | CA24245 | CA | Y | Dental Providers | Dentist | General Practice |
No ID Information.