Oh, Sandra

Oh, Sandra is an individual health care provider with primary practice located at 3650 Baxley Ridge Dr , Suwanee GA 30024-4501. She recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is her primary health care specialty. Oh, Sandra can be contacted via phone (770) 630-9141.

Contact Information

Primary practice address
3650 Baxley Ridge Dr Suwanee GA 30024-4501
Phone: (770) 630-9141
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN013379 Georgia
Dental Providers / Pediatric Dentistry 1223P0221X DN013379 Georgia

Profile Details

NPI number 1912078478
LBN Legal business name Oh, Sandra
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Aug 13th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912078478 NPPES
Georgia MEDICAID 672066157B

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