Individual
MARK WILLIAM OXLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1618 MEADOWS LN, VIDALIA, GA 30474-8914
(912) 537-9838
Mailing address
PO BOX 406, VIDALIA, GA 30475-0406
(912) 537-2238
(912) 537-0979
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN015867
GA
Other
Enumeration date
08/05/2019
Last updated
11/03/2019
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