Provider Demographics
NPI:1417965484
Name:OHORO, JOHN T (DMD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:T
Last Name:OHORO
Suffix:
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 1:565 TURNPIKE STREET
Mailing Address - Street 2:SUITE 63
Mailing Address - City:NORTH ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01845
Mailing Address - Country:US
Mailing Address - Phone:978-686-2231
Mailing Address - Fax:978-685-7687
Practice Address - Street 1:565 TURNPIKE STREET
Practice Address - Street 2:SUITE 63
Practice Address - City:NORTH ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845
Practice Address - Country:US
Practice Address - Phone:978-686-2231
Practice Address - Fax:978-685-7687
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA193131223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice