Provider Demographics
NPI:1801629084
Name:VAN OSS, JOSEPH COREY (DDS)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:COREY
Last Name:VAN OSS
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 1:26236 ROAD R
Mailing Address - Street 2:
Mailing Address - City:FORT JENNINGS
Mailing Address - State:OH
Mailing Address - Zip Code:45844-8824
Mailing Address - Country:US
Mailing Address - Phone:567-242-4257
Mailing Address - Fax:
Practice Address - Street 1:1702 ALLENTOWN RD
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45805-1845
Practice Address - Country:US
Practice Address - Phone:419-741-9903
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-22
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.027569122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist