Provider Demographics
NPI:1346368016
Name:WARNER, OSWALD G JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:OSWALD
Middle Name:G
Last Name:WARNER
Suffix:JR
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 1:7011 BEECHWOOD DR
Mailing Address - Street 2:
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-5175
Mailing Address - Country:US
Mailing Address - Phone:301-928-4061
Mailing Address - Fax:
Practice Address - Street 1:7000 CARROLL AVE
Practice Address - Street 2:STE 202
Practice Address - City:TAKOMA PARK
Practice Address - State:MD
Practice Address - Zip Code:20912-4437
Practice Address - Country:US
Practice Address - Phone:301-270-4032
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD111541223G0001X
DC54661223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice