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NPI Code Detail

MEDICARE: OXFORD DENTAL LLC

MEDICARE: OXFORD DENTAL LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QD0000XDental Clinic/Center

General Provider Information

NPI Number : 1831955475
Entity Type Code : Organization
Provider Name (Legal Business Name) : OXFORD DENTAL LLC
Provider Business Mailing Address
First Line : 4416 WOOD DUCK WAY
Second Line :
City : RACINE
State : WI
Zip : 53403-4095
Country : US
Telephone Number : 720-210-3078
Fax Number :
Provider Business Practice Location Address
First Line : 6035 DURAND AVE
Second Line :
City : MOUNT PLEASANT
State : WI
Zip : 53406-5049
Country : US
Telephone Number : 720-210-3078
Fax Number :
Authorized Official
Title or Position : CEO/OWNER
Name : DR. ARSALAN AUGEND
Credential : DDS
Telephone Number : 720-210-3078
Provider Enumeration Date : 02/21/2024
Last Update Date : 02/21/2024

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Directions to “OXFORD DENTAL LLC ” Practice Location

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