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
—
—
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
08/22/2024
Last updated
06/26/2026
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