Provider Demographics
NPI:1306904289
Name:OIAN, JOHN THOMAS (DDS)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:THOMAS
Last Name:OIAN
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 1:2740 HERNDON AVE
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93611-6813
Mailing Address - Country:US
Mailing Address - Phone:559-299-4264
Mailing Address - Fax:559-299-1421
Practice Address - Street 1:16835 ALKALI DR
Practice Address - Street 2:SUITE M
Practice Address - City:LEMOORE
Practice Address - State:CA
Practice Address - Zip Code:93245-9463
Practice Address - Country:US
Practice Address - Phone:559-924-0460
Practice Address - Fax:559-924-2197
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2014-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACA242451223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice