Provider Demographics
NPI:1699944363
Name:OYLER, JOHN JEFFREY
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:JEFFREY
Last Name:OYLER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:820 W MONTROSE ST
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34711-2124
Mailing Address - Country:US
Mailing Address - Phone:352-394-4567
Mailing Address - Fax:
Practice Address - Street 1:820 W MONTROSE ST
Practice Address - Street 2:
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711-2124
Practice Address - Country:US
Practice Address - Phone:352-394-4567
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-26
Last Update Date:2008-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN0008238122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist