| Organization Name: | F. JAY OHMES DDS LLC |
| NPI Number: | 1760826291 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | F JAY OHMES (OWNER) |
| Mailing Address: | 1009 Rondale Ct Dardenne Prairie |
| State: | MO US |
| Postal Code: | 633687368 |
| Phone Number: | 6369780226 |
| Fax Number: | |
| NPI Enumeration Date: | 04/26/2013 |
| NPI Last Update Date: | 04/23/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BC3200X |
| License Number: | DE015092 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MO |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Customized Equipment |
| Taxonomy Definition: | |