Most Relevant Information
Provider Data
| NPI Number: | 1003461294 |
| Provider Name: | MARK WILLIAM OXLEY DMD |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | DN015867 |
Most Important Dates
| Enumeration Date: | 08/05/2019 |
| Last Updated: | 11/03/2019 |
Provider Practice Location
1618 MEADOWS LN
VIDALIA
GA
304748914
Practice Location Phone/Fax
| Phone: | 9125379838 |
| Fax: |
Provider Mailing Location
PO BOX 406
VIDALIA
GA
304750406
Provider Mailing Phone/Fax
| Phone: | 9125372238 |
| Fax: | 9125370979 |