# OASIS DENTAL CARE, INC.

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

## Provider details

- **NPI number:** 1245489228
- **Authorized official:** DR. FRANK R. OLIVAS DDS (OWNER/DENTIST)
- **Authorized official phone:** (928) 774-4030

## Contact information

- **Practice address:** 930 N SWITZER CANYON DR, SUITE 200, FLAGSTAFF, AZ 86001-4824
- **Practice address phone:** (928) 774-4030
- **Practice address fax:** (928) 214-7326
- **Mailing address:** 930 N SWITZER CANYON DR, SUITE 200, FLAGSTAFF, AZ 86001-4824
- **Mailing address phone:** (928) 774-4030
- **Mailing address fax:** (928) 214-7326

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 4850 | AZ | Yes |
| 1223G0001X | General Practice Dentistry | 7153 | AZ | — |

## Other

- **Enumeration date:** 09/15/2008
- **Last updated:** 09/15/2008
