Provider Demographics
NPI:1568840262
Name:GEORGE A OLEY III PLC
Entity Type:Organization
Organization Name:GEORGE A OLEY III PLC
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:A
Authorized Official - Last Name:OLEY
Authorized Official - Suffix:III
Authorized Official - Credentials:DDS
Authorized Official - Phone:804-282-7011
Mailing Address - Street 1:9030 THREE CHOPT RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23229-4641
Mailing Address - Country:US
Mailing Address - Phone:804-282-7011
Mailing Address - Fax:
Practice Address - Street 1:7016 LEE PARK RD
Practice Address - Street 2:SUITE 200
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23111-3682
Practice Address - Country:US
Practice Address - Phone:804-789-9118
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-13
Last Update Date:2015-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA401005517122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty