Provider Demographics
NPI:1295877710
Name:OEHLER, BARBARA ANN (DDS)
Entity type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:ANN
Last Name:OEHLER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:MISS
Other - First Name:BARBARA
Other - Middle Name:ANN
Other - Last Name:COOK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:1040 MEYER ROAD
Mailing Address - Street 2:
Mailing Address - City:WENTZVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:63385-3437
Mailing Address - Country:US
Mailing Address - Phone:636-327-8989
Mailing Address - Fax:636-639-6180
Practice Address - Street 1:1040 MEYER ROAD
Practice Address - Street 2:
Practice Address - City:WENTZVILLE
Practice Address - State:MO
Practice Address - Zip Code:63385-3437
Practice Address - Country:US
Practice Address - Phone:636-327-8989
Practice Address - Fax:636-639-6180
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MODE0152531223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice