Organization
OXFORD MAXILLOFACIAL SURGERY, INC.
Active
Parent organization
OXFORD MAXILLOFACIAL SURGERY, INC.
Other names
Oxford Maxillofacial Surgery Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
OXFORD MAXILLOFACIAL SURGERY, INC.
Authorized official
NICOLE CARIDE (CREDENTIALING)
(727) 784-2721
Entity
Organization
Contact information
Practice address
218 S THOMAS ST STE 122, TUPELO, MS 38801-5300
(662) 690-5354
Mailing address
2886 S LAMAR BLVD, OXFORD, MS 38655-5347
(662) 236-7888
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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