Oxford Dental Care

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D-4623 Issued in ID

Legal business name

OXFORD DENTAL CARE

Practice address

749 Oxford Dr
Idaho Falls, ID 83401-4203

Phone

(208) 529-0420

NPI assigned

Apr 17, 2015

Last updated

Jun 11, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Andrew N Bitter, DDS

Title

Dentist

Phone

(208) 529-0420

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1429228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433980800000",
    "number": "1497142350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "749 OXFORD DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834014203",
            "telephone_number": "208-529-0420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "749 OXFORD DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834014203",
            "telephone_number": "208-529-0420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OXFORD DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-17",
        "last_updated": "2015-06-11",
        "status": "A",
        "authorized_official_last_name": "BITTER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "208-529-0420",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D-4623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Overton, MS, CCC-SLP
• Owen Dental, PC
• Gretta Cozette Owen
• John Owen, DDS
• Jessica Owsley, LCSW
• Craig Richard Kai Pack, D.O.
• David Thomas Packer, BS
• Flint R. Packer, D.O.
• Nicole C Packer, B.S.
• Scott M Packer, MD

• General Practice Dentistry in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2015; 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.