Individual
DR. JOHN MICHAEL OLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
234 CAMBRIDGE RD, COSHOCTON, OH 43812-2143
(740) 622-6797
(740) 622-6797
Mailing address
234 CAMBRIDGE RD, COSHOCTON, OH 43812-2143
(740) 622-6797
(740) 622-6797
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30.016778
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0510478
—
OH
Enumeration date
03/02/2006
Last updated
11/21/2009
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