Provider Demographics
NPI:1346395548
Name:DR. GEORGE A, OLEY AND ASSOCIATES
Entity Type:Organization
Organization Name:DR. GEORGE A, OLEY AND ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:OLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:804-379-6806
Mailing Address - Street 1:1907 HUGUENOT RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23235-4325
Mailing Address - Country:US
Mailing Address - Phone:804-379-6806
Mailing Address - Fax:804-379-4667
Practice Address - Street 1:1907 HUGUENOT RD
Practice Address - Street 2:SUITE 200
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23235-4325
Practice Address - Country:US
Practice Address - Phone:804-379-6806
Practice Address - Fax:804-379-4667
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401005517122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty