Provider Demographics
NPI:1477678613
Name:OMAN, CHAD HUGUENIN (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHAD
Middle Name:HUGUENIN
Last Name:OMAN
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 1:699 HILL RD N
Mailing Address - Street 2:
Mailing Address - City:PICKERINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43147-8882
Mailing Address - Country:US
Mailing Address - Phone:614-837-1440
Mailing Address - Fax:
Practice Address - Street 1:699 HILL RD N
Practice Address - Street 2:
Practice Address - City:PICKERINGTON
Practice Address - State:OH
Practice Address - Zip Code:43147-8882
Practice Address - Country:US
Practice Address - Phone:614-837-1440
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2019-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH300216541223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice