NPIMap

Organization Active NPI

LD-Oxford, LLC

  • Dental Clinic/Center
  • Oxford, MS
National Provider Identifier
1093374167
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
LD-OXFORD, LLC
Practice address
2608 S Lamar Blvd
Oxford, MS 38655-5243
Phone
(662) 281-8455
Fax
(815) 461-8253
NPI assigned
Jun 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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

Authorized official

Name
Lauren S Daigneault, BA, MA
Title
Administrative Director
Phone
(256) 783-9468

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2608 S Lamar Blvd
Oxford, MS 38655-5243

Mailing address

2608 S Lamar Blvd
Oxford, MS 38655-5243
Phone (662) 281-8455

Other names 1

  • Life Dental Oxford Doing business as

National Provider Directory

National Provider Directory

Locations

2608 S Lamar Blvd
Oxford, MS 38655
Phone (662) 281-8455

1605 University Ave
Oxford, MS 38655
Phone (662) 281-8455

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688688000000",
    "number": "1093374167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2608 S LAMAR BLVD",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555243",
            "telephone_number": "662-281-8455",
            "fax_number": "815-461-8253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2608 S LAMAR BLVD",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555243",
            "telephone_number": "662-281-8455",
            "fax_number": "815-461-8253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LD-OXFORD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-11",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A",
        "authorized_official_last_name": "DAIGNEAULT",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "256-783-9468",
        "authorized_official_credential": "BA, MA"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Dental Oxford",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oxford, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; 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.