Provider Demographics
NPI:1417171091
Name:OPPENHEIMER, JAHN HERMAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAHN
Middle Name:HERMAN
Last Name:OPPENHEIMER
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 1:30 MIRACLE MILE
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-5404
Mailing Address - Country:US
Mailing Address - Phone:305-448-7778
Mailing Address - Fax:305-341-0061
Practice Address - Street 1:30 MIRACLE MILE
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-5404
Practice Address - Country:US
Practice Address - Phone:305-448-7778
Practice Address - Fax:305-341-0061
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2015-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN.135631223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice