Provider Demographics
NPI:1609910330
Name:OCHS, HOWARD A (DMD)
Entity Type:Individual
Prefix:MR
First Name:HOWARD
Middle Name:A
Last Name:OCHS
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 1:7015 164TH ST
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11365-4218
Mailing Address - Country:US
Mailing Address - Phone:718-263-7400
Mailing Address - Fax:718-969-3386
Practice Address - Street 1:7015 164TH ST
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11365-4218
Practice Address - Country:US
Practice Address - Phone:718-263-7400
Practice Address - Fax:718-969-3386
Is Sole Proprietor?:No
Enumeration Date:2007-02-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0457211223P0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0106XDental ProvidersDentistOral and Maxillofacial Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01770781Medicaid
NYT92611Medicare UPIN
NY01770781Medicaid