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OXFORD DENTAL CLINIC NPI 1023107240


NPI Information

NPI: 1023107240
Provider Name: OXFORD DENTAL CLINIC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
2155 S LAMAR BLVD
OXFORD, MS
ZIP 38655
Phone: (662) 234-5222
Get Directions

OXFORD DENTAL CLINIC is a general practice dentist in Oxford, MS. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. OXFORD DENTAL CLINIC NPI is 1023107240. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2155 S LAMAR BLVD
OXFORD, MS
ZIP 38655-223
Phone: (662) 234-5222
Fax: (662) 234-5254

The provider's authorized official is Henry J. Pace .
The authorized official title is Insurance Coordinator and has the following contact phone number (662) 234-5222.

The enumeration date for this NPI number is 10/12/2006 and was last updated on 10/30/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice1700-75TENNESSEENo
21223G0001XDentistGeneral Practice2825-94MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10064235MEDICAIDMISSISSIPPI
20660083MEDICAIDMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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