Healthcare Provider Details

I. General information

NPI: 1801733381
Provider Name (Legal Business Name): ELEVATED OASIS DENTAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12164 CENTRAL AVE STE 213
MITCHELLVILLE MD
20721-1902
US

IV. Provider business mailing address

5811 SAVANNAH DR
BRANDYWINE MD
20613-7765
US

V. Phone/Fax

Practice location:
  • Phone: 619-248-0963
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: JASMINE SPRIGGS
Title or Position: DENTIST
Credential: DDS
Phone: 619-248-0963