Organization
OXFORD DENTAL SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES H. PERKINS DMD (PARTNER - MANAGING)
(662) 513-4188
Entity
Organization
Contact information
Practice address
2408 S LAMAR BLVD., SUITE 1, OXFORD, MS 38655
(662) 513-4188
(662) 513-4180
Mailing address
2408 S LAMAR BLVD., SUITE 1, OXFORD, MS 38655
(662) 513-4188
(662) 513-4180
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
3306-04 PEDO-397-06
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09870248
—
MS
Enumeration date
12/19/2006
Last updated
10/21/2010
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