Healthcare Provider Details
I. General information
NPI: 1285505560
Provider Name (Legal Business Name): OXFORD DENTAL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/17/2025
Last Update Date: 09/17/2025
Certification Date: 09/17/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
724 NE 15TH AVE
FORT LAUDERDALE FL
33304-2983
US
IV. Provider business mailing address
724 NE 15TH AVE
FORT LAUDERDALE FL
33304-2983
US
V. Phone/Fax
- Phone: 508-254-8417
- Fax:
- Phone: 508-254-8417
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QD0000X |
| Taxonomy | Dental Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JASPREET
ARORA
Title or Position: OWNER
Credential: DMD
Phone: 508-254-8417