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Organization
MS ODP OXFORD DENTAL, PLLC
Active
Organization
MS ODP OXFORD DENTAL, PLLC
Active
Other names
Oxford Family Dentistry and Braces
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN SMITH (CEO)
(470) 750-4866
Entity
Organization
Contact information
Practice address
2311 JACKSON AVE W STE 302, OXFORD, MS 38655-5751
(662) 612-0063
Mailing address
2300 LAKEVIEW PKWY STE 250, ALPHARETTA, GA 30009-3954
(727) 784-2721
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
NULL
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
—
NULL
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
Primary
—
NULL
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
08/22/2024
Last updated
06/26/2026
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