| Oldenburg Family Dentistry Llc | |
|
3205 Wisconsin Ave Vicksburg MS 39180-5350 | |
| (601) 634-6080 | |
| (601) 634-6081 |
| Full Name | Oldenburg Family Dentistry Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3205 Wisconsin Ave, Vicksburg, Mississippi |
| Authorized Official Name and Position | Savannah Chandler Oldenburg (OWNER) |
| Authorized Official Contact | 6016346080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oldenburg Family Dentistry Llc 3205 Wisconsin Ave Vicksburg MS 39180-5350 Ph: (601) 634-6080 | Oldenburg Family Dentistry Llc 3205 Wisconsin Ave Vicksburg MS 39180-5350 Ph: (601) 634-6080 |
| NPI Number | 1952101784 |
|---|---|
| Provider Enumeration Date | 03/19/2025 |
| Last Update Date | 03/19/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952101784 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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