Provider Demographics
NPI:1679748065
Name:OH, STEVEN S (DMD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:S
Last Name:OH
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4773 BRADLEY BLVD
Mailing Address - Street 2:
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-6359
Mailing Address - Country:US
Mailing Address - Phone:301-654-3311
Mailing Address - Fax:301-654-3312
Practice Address - Street 1:4773 BRADLEY BLVD
Practice Address - Street 2:
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-6359
Practice Address - Country:US
Practice Address - Phone:301-654-3311
Practice Address - Fax:301-654-3312
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-25
Last Update Date:2008-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD113441223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice