Provider Demographics
NPI:1013041201
Name:OAS, ANDREW J (DMD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:J
Last Name:OAS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1097 BALTIMORE AVE SE
Mailing Address - Street 2:
Mailing Address - City:BANDON
Mailing Address - State:OR
Mailing Address - Zip Code:97411-9120
Mailing Address - Country:US
Mailing Address - Phone:541-329-0550
Mailing Address - Fax:541-329-0309
Practice Address - Street 1:1097 BALTIMORE AVE SE
Practice Address - Street 2:
Practice Address - City:BANDON
Practice Address - State:OR
Practice Address - Zip Code:97411-9120
Practice Address - Country:US
Practice Address - Phone:541-329-0550
Practice Address - Fax:541-329-0309
Is Sole Proprietor?:No
Enumeration Date:2007-03-16
Last Update Date:2018-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORD7789122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist