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General NPI Number Information
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NPI Number | 1760609333
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Entity Type | Organization
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Legal Business Name | OXFORD DENTAL ASSOCIATES
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 35 OLD STATE RD
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City | OXFORD
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State | CT
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Zip | 06478
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Country | US
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Telephone | 203-888-9776
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Fax |
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Provider Business Mailing Address
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Address Line | 35 OLD STATE ROAD
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City | OXFORD
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State | CT
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Zip | 06478
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MARGARET CAPOZZI
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Credential |
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Telephone | 203-888-9776
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 020003982CT02
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License Number State | CT
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