| Life Dental Oxford | |
|
2608 S Lamar Blvd Oxford MS 38655-5243 | |
| (662) 281-8455 | |
| (815) 461-8253 |
| Full Name | Life Dental Oxford |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2608 S Lamar Blvd, Oxford, Mississippi |
| Authorized Official Name and Position | Lauren S Daigneault (ADMINISTRATIVE DIRECTOR) |
| Authorized Official Contact | 2567839468 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Dental Oxford 2608 S Lamar Blvd Oxford MS 38655-5243 Ph: (662) 281-8455 | Life Dental Oxford 2608 S Lamar Blvd Oxford MS 38655-5243 Ph: (662) 281-8455 |
| NPI Number | 1093374167 |
|---|---|
| Provider Enumeration Date | 06/11/2019 |
| Last Update Date | 07/07/2023 |
| Certification Date | 07/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093374167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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