Provider Demographics
NPI:1043652886
Name:OH, FRANCIS (DDS, MS, MA)
Entity Type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:
Last Name:OH
Suffix:
Gender:M
Credentials:DDS, MS, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2044 CENTER AVE
Mailing Address - Street 2:
Mailing Address - City:FORT LEE
Mailing Address - State:NJ
Mailing Address - Zip Code:07024-4930
Mailing Address - Country:US
Mailing Address - Phone:201-637-7977
Mailing Address - Fax:
Practice Address - Street 1:2044 CENTER AVE
Practice Address - Street 2:
Practice Address - City:FORT LEE
Practice Address - State:NJ
Practice Address - Zip Code:07024-4930
Practice Address - Country:US
Practice Address - Phone:201-637-7977
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-22
Last Update Date:2016-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0567071223P0700X
NJ22DI02571500122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223P0700XDental ProvidersDentistProsthodontics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY056707OtherNYS DENTAL LICENSE
NJ22DI02571500OtherNJ LICENSING BOARD