Provider Demographics
NPI:1295353704
Name:OSLICA, JAMES PAUL (DDS)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:PAUL
Last Name:OSLICA
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 1:15067 ISLEVIEW CT
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017-7600
Mailing Address - Country:US
Mailing Address - Phone:417-849-4019
Mailing Address - Fax:
Practice Address - Street 1:1185 CAVE SPRINGS ESTATE DR
Practice Address - Street 2:
Practice Address - City:SAINT PETERS
Practice Address - State:MO
Practice Address - Zip Code:63376-6529
Practice Address - Country:US
Practice Address - Phone:636-757-1800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-10
Last Update Date:2020-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20200210961223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice