# HUSHANG GHODRAT, DDS, PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Oxford Dental Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730380874
- **Authorized official:** JAMIE M. BRUMMITT (OFFICE MANAGER)
- **Authorized official phone:** (919) 693-9755

## Contact information

- **Practice address:** 1419 COLLEGE STREET, SUITE B, OXFORD, NC 27565
- **Practice address phone:** (919) 693-9755
- **Practice address fax:** (919) 693-9067
- **Mailing address:** 1419 COLLEGE STREET, SUITE B, OXFORD, NC 27565
- **Mailing address phone:** (919) 693-9755
- **Mailing address fax:** (919) 693-9067

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 6984 | NC | Yes |

## Other

- **Enumeration date:** 05/29/2007
- **Last updated:** 06/17/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 5905168 | — | NC |