Organization
OXFORD MAXILLOFACIAL SURGERY, INC.
Active
Other names
Oxford Maxillofacial Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE CARIDE (CREDENTIALING MANAGER)
(727) 784-2721
Entity
Organization
Contact information
Practice address
2886 S LAMAR BLVD, OXFORD, MS 38655-5347
(662) 236-7888
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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