Provider Demographics
NPI:1407062995
Name:O'CONNOR, JOHN H III (DMD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:H
Last Name:O'CONNOR
Suffix:III
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 1:8 PERRY RD
Mailing Address - Street 2:
Mailing Address - City:ANNANDALE
Mailing Address - State:NJ
Mailing Address - Zip Code:08801-2048
Mailing Address - Country:US
Mailing Address - Phone:908-236-7219
Mailing Address - Fax:
Practice Address - Street 1:870 US HIGHWAY 202-206 N
Practice Address - Street 2:
Practice Address - City:BRIDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:08807
Practice Address - Country:US
Practice Address - Phone:908-236-7219
Practice Address - Fax:908-231-1622
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ186251223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice