Provider Demographics
NPI:1114013489
Name:OXLER, GEORGE PATRICK (DDS)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:PATRICK
Last Name:OXLER
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 1:900 N TYLER RD STE 2
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67212-3249
Mailing Address - Country:US
Mailing Address - Phone:316-722-2596
Mailing Address - Fax:316-722-3486
Practice Address - Street 1:900 N TYLER RD STE 2
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67212-3249
Practice Address - Country:US
Practice Address - Phone:316-722-2596
Practice Address - Fax:316-722-3486
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS60406122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist