Mark William Oxley, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN015867 Issued in GA

Practice address

1618 Meadows LN
Vidalia, GA 30474-8914

Phone

(912) 537-9838

NPI assigned

Aug 5, 2019

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Vidalia Dental Associates,P.C.

  • General Practice Dentistry
  • Vidalia, GA
  • NPI 1770685141
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572739200000",
    "number": "1003461294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 406",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304750406",
            "telephone_number": "912-537-2238",
            "fax_number": "912-537-0979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1618 MEADOWS LN",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304748914",
            "telephone_number": "912-537-9838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OXLEY",
        "first_name": "MARK",
        "middle_name": "WILLIAM",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-05",
        "last_updated": "2019-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN015867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• On Point Mobile Phlebotomy LLC
• Optim Orthopedics, LLC
• Optometry Associates, PC
• Timothy Justin Osborne, M.D.
• Lyn Brown Oxley, OD
• Ramachandra R Paidi, M.D
• Pain Treatment Centers of Georgia LLC
• David Hansell Paine, M.D.
• Ravi J Patel, MD
• Rohit Govindbhai Patel, RPH

• General Practice Dentistry in Vidalia, GA
• Providers in Vidalia, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.