| Oxford Dental Specialists | |
|
2408 S Lamar Blvd. Suite 1 Oxford MS 38655 | |
| (662) 513-4188 | |
| (662) 513-4180 |
| Full Name | Oxford Dental Specialists |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2408 S Lamar Blvd., Oxford, Mississippi |
| Authorized Official Name and Position | Charles H. Perkins (PARTNER - MANAGING) |
| Authorized Official Contact | 6625134188 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oxford Dental Specialists 2408 S Lamar Blvd. Suite 1 Oxford MS 38655 Ph: (662) 513-4188 | Oxford Dental Specialists 2408 S Lamar Blvd. Suite 1 Oxford MS 38655 Ph: (662) 513-4188 |
| NPI Number | 1770646598 |
|---|---|
| Provider Enumeration Date | 12/19/2006 |
| Last Update Date | 10/21/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770646598 | NPI | - | NPPES |
| 09870248 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 3306-04 PEDO-397-06 (Mississippi) | Primary |
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