# OXFORD PEDIATRIC DENTAL ASSOCIATES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225415771
- **Authorized official:** DR. RICHARD BAKER CHAMBLISS JR. D.M.D (PARTNER)
- **Authorized official phone:** (205) 338-4227

## Contact information

- **Practice address:** 1409 HAMRIC DR E, OXFORD, AL 36203-1933
- **Practice address phone:** (205) 338-4227
- **Practice address fax:** (205) 338-5558
- **Mailing address:** 50 CROPWELL DR, SUITE 1, PELL CITY, AL 35128-7552
- **Mailing address phone:** (205) 338-4227
- **Mailing address fax:** (205) 338-5558

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | — | NULL | Yes |
| 1223P0221X | Pediatric Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 05/05/2015
- **Last updated:** 05/05/2015