| Oasis Dental Services | |
|
12205 County Line Rd Suite A Madison AL 35758-7719 | |
| (256) 864-9571 | |
| (256) 864-9575 |
| Full Name | Oasis Dental Services |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 12205 County Line Rd, Madison, Alabama |
| Authorized Official Name and Position | Trella C. Dutton (OWNER) |
| Authorized Official Contact | 2568649571 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oasis Dental Services 12205 County Line Rd Suite A Madison AL 35758-7719 Ph: (256) 864-9571 | Oasis Dental Services 12205 County Line Rd Suite A Madison AL 35758-7719 Ph: (256) 864-9571 |
| NPI Number | 1649439761 |
|---|---|
| Provider Enumeration Date | 06/04/2008 |
| Last Update Date | 06/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649439761 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 4640 (Alabama) | Primary |
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