| Ms Odp Oxford Dental, Pllc | |
|
2311 Jackson Ave W Ste 302 Oxford MS 38655-5751 | |
| (662) 612-0063 | |
| Not Available |
| Full Name | Ms Odp Oxford Dental, Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2311 Jackson Ave W Ste 302, Oxford, Mississippi |
| Authorized Official Name and Position | Brian Smith (VP) |
| Authorized Official Contact | 4702073264 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Odp Oxford Dental, Pllc 2300 Lakeview Parkway, Ste. 250 Alpharetta GA 30009-3954 Ph: (727) 784-2721 | Ms Odp Oxford Dental, Pllc 2311 Jackson Ave W Ste 302 Oxford MS 38655-5751 Ph: (662) 612-0063 |
| NPI Number | 1952134348 |
|---|---|
| Provider Enumeration Date | 08/22/2024 |
| Last Update Date | 08/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952134348 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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