MEDICARE: DENTAL OASIS, P.C.

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
1	1223G0001X	General Practice Dentistry	12010860A	IN

General Provider Information

NPI Number	:	1861782120
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DENTAL OASIS, P.C.

Provider Business Mailing Address
First Line	:	5957 W BROADWAY
Second Line	:
City	:	MC CORDSVILLE
State	:	IN
Zip	:	46055-9355
Country	:	US
Telephone Number	:	317-402-8521
Fax Number	:

Provider Business Practice Location Address
First Line	:	5957 W BROADWAY
Second Line	:
City	:	MC CORDSVILLE
State	:	IN
Zip	:	46055-9355
Country	:	US
Telephone Number	:	317-402-8521
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/DENTIST
Name	:	DR. KELLI ANN LARRABEE-DEWELL
Credential	:	D.D.S.
Telephone Number	:	317-402-8521

Provider Enumeration Date	:	04/07/2011
Last Update Date	:	04/07/2011

Similar Medicare Providers

1508870742 — DR. AUSTIN DAVID POTTER O.D.
Practice Location Address:

5953 W BROADWAY
MC CORDSVILLE, IN
46055-9355

Practice Phone: 317-747-9263
Practice Fax: 317-747-9271

1073727491 — DR. KELLI LARRABEE - DEWELL DDS
Practice Location Address:

5957 W BROADWAY
MC CORDSVILLE, IN
46055-9355

Practice Phone: 317-402-8521
Practice Fax:

1801198510 — POTTER FAMILY EYE CARE, LLC
Practice Location Address:

5953 W BROADWAY
MC CORDSVILLE, IN
46055-9355

Practice Phone: 317-747-9263
Practice Fax: 317-747-9271

1417550914 — DR. LAUREN STRAUSS
Practice Location Address:

5981 W BROADWAY
MCCORDSVILLE, IN
46055-9355

Practice Phone: 317-335-3380
Practice Fax:

1427652890 — NICHOLE BARNARD PHARMD
Practice Location Address:

5981 W BROADWAY
MCCORDSVILLE, IN
46055-9355

Practice Phone: 317-335-3380
Practice Fax:

1831793975 — JAMES DAVID HORNADAY PHARMD
Practice Location Address:

5981 W BROADWAY
MCCORDSVILLE, IN
46055-9355

Practice Phone: 317-335-3380
Practice Fax:

Directions to “DENTAL OASIS, P.C. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.