Provider Demographics
NPI:1659368082
Name:OEFINGER, JON (DDS)
Entity Type:Individual
Prefix:DR
First Name:JON
Middle Name:
Last Name:OEFINGER
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 1:13221 NW MILITARY HWY
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78231-1840
Mailing Address - Country:US
Mailing Address - Phone:210-492-5668
Mailing Address - Fax:210-492-4901
Practice Address - Street 1:13221 NW MILITARY HWY
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78231-1840
Practice Address - Country:US
Practice Address - Phone:210-492-5668
Practice Address - Fax:210-492-4901
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX20320122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist