Healthcare Provider Details

I. General information

NPI: 1750746392
Provider Name (Legal Business Name): OXFORD DENTAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/28/2015
Last Update Date: 12/28/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

855 W CENTRAL ST
FRANKLIN MA
02038-3118
US

IV. Provider business mailing address

855 W CENTRAL ST
FRANKLIN MA
02038-3118
US

V. Phone/Fax

Practice location:
  • Phone: 508-520-2333
  • Fax: 508-440-5622
Mailing address:
  • Phone: 508-520-2333
  • Fax: 508-440-5622

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number18506
License Number StateMA

VIII. Authorized Official

Name: RASHID A NOOR
Title or Position: DENTIST
Credential: D.M.D
Phone: 508-695-1903