# OXFORD DENTAL SPECIALISTS

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

## Provider details

- **NPI number:** 1770646598
- **Authorized official:** DR. CHARLES H. PERKINS DMD (PARTNER - MANAGING)
- **Authorized official phone:** (662) 513-4188

## Contact information

- **Practice address:** 2408 S LAMAR BLVD., SUITE 1, OXFORD, MS 38655
- **Practice address phone:** (662) 513-4188
- **Practice address fax:** (662) 513-4180
- **Mailing address:** 2408 S LAMAR BLVD., SUITE 1, OXFORD, MS 38655
- **Mailing address phone:** (662) 513-4188
- **Mailing address fax:** (662) 513-4180

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | 3306-04 PEDO-397-06 | MS | Yes |

## Other

- **Enumeration date:** 12/19/2006
- **Last updated:** 10/21/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 09870248 | — | MS |
