Provider Demographics
NPI:1740733716
Name:JAMES W. OHMAN, DDS
Entity type:Organization
Organization Name:JAMES W. OHMAN, DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHIRLEY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:HOY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-535-4607
Mailing Address - Street 1:3154 E 29TH AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99223-4852
Mailing Address - Country:US
Mailing Address - Phone:509-535-4607
Mailing Address - Fax:509-535-3021
Practice Address - Street 1:3154 E 29TH AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99223-4852
Practice Address - Country:US
Practice Address - Phone:509-535-4607
Practice Address - Fax:509-535-3021
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-26
Last Update Date:2016-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA5025122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA5521406Medicaid