Provider Demographics
NPI:1598932725
Name:OGLESBY, JEFFREY STUART (DDS)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:STUART
Last Name:OGLESBY
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 1:1313 JAMESTOWN RD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23185-3362
Mailing Address - Country:US
Mailing Address - Phone:757-229-3052
Mailing Address - Fax:757-229-3115
Practice Address - Street 1:1313 JAMESTOWN RD
Practice Address - Street 2:SUITE 205
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23185-3362
Practice Address - Country:US
Practice Address - Phone:757-229-3052
Practice Address - Fax:757-229-3115
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-16
Last Update Date:2008-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010064741223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice