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General NPI Number Information
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NPI Number | 1801733381
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Entity Type | Organization
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Legal Business Name | ELEVATED OASIS DENTAL
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Dates
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Enumeration Date | 05/01/2026
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Last Update Date | 05/01/2026
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Provider Practice Location Address
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Address Line | 12164 CENTRAL AVE STE 213
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City | MITCHELLVILLE
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State | MD
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Zip | 20721-1902
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Country | US
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Telephone | 619-248-0963
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Fax |
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Provider Business Mailing Address
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Address Line | 5811 SAVANNAH DR
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City | BRANDYWINE
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State | MD
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Zip | 20613-7765
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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 | DENTIST
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Name | JASMINE SPRIGGS
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Credential | DDS
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Telephone | 619-248-0963
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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 |
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License Number State |
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