Provider Demographics
NPI:1588032890
Name:F. JAY OHMES DDS LLC
Entity Type:Organization
Organization Name:F. JAY OHMES DDS LLC
Other - Org Name:BETTER SLEEP STL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:F
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:OHMES
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:636-978-0226
Mailing Address - Street 1:1009 RONDALE CT
Mailing Address - Street 2:
Mailing Address - City:DARDENNE PRAIRIE
Mailing Address - State:MO
Mailing Address - Zip Code:63368-7368
Mailing Address - Country:US
Mailing Address - Phone:636-978-0226
Mailing Address - Fax:
Practice Address - Street 1:1009 RONDALE CT
Practice Address - Street 2:
Practice Address - City:DARDENNE PRAIRIE
Practice Address - State:MO
Practice Address - Zip Code:63368-7368
Practice Address - Country:US
Practice Address - Phone:636-978-0226
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:F. JAY OHMES DDS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-09-03
Last Update Date:2016-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO015092332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO7546410001Medicare NSC