# OASIS DENTAL SERVICES, PLLC

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

## Provider details

- **NPI number:** 1770029365
- **Authorized official:** DR. DANIEL ALLEN RODDA D.D.S. (DENTIST/OWNER)
- **Authorized official phone:** (928) 774-4030

## Contact information

- **Practice address:** 930 N SWITZER CANYON DR, \#200, FLAGSTAFF, AZ 86001-4824
- **Practice address phone:** (928) 774-4030
- **Practice address fax:** (928) 233-6901
- **Mailing address:** 930 N SWITZER CANYON DR, \#200, FLAGSTAFF, AZ 86001-4824
- **Mailing address phone:** (928) 774-4030
- **Mailing address fax:** (928) 233-6901

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | D009628 | NULL | Yes |

## Other

- **Enumeration date:** 01/06/2017
- **Last updated:** 01/06/2017