Provider Demographics
NPI:1215713656
Name:JAMES DAVID OEI DDS PA
Entity type:Organization
Organization Name:JAMES DAVID OEI DDS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:D
Authorized Official - Last Name:OEI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:210-325-5229
Mailing Address - Street 1:3740 COLONY DR STE 254
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78230-2233
Mailing Address - Country:US
Mailing Address - Phone:210-690-5170
Mailing Address - Fax:
Practice Address - Street 1:3740 COLONY DR STE 254
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78230-2233
Practice Address - Country:US
Practice Address - Phone:210-690-5170
Practice Address - Fax:210-690-8522
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-01
Last Update Date:2023-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental