Oldenburg Family Dentistry LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

OLDENBURG FAMILY DENTISTRY LLC

Practice address

3205 Wisconsin Ave
Vicksburg, MS 39180-5350

Phone

(601) 634-6080

Fax

(601) 634-6081

NPI assigned

Mar 19, 2025

Last updated

Mar 19, 2025By 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

Savannah Chandler Oldenburg, DMDNPI 1730818709

Title

Owner

Phone

(601) 634-6080

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Savannah Chandler Oldenburg, DMD

  • General Practice Dentistry
  • Vicksburg, MS
  • NPI 1730818709
  NPD Authorized official
• Martin V Chaney, D.M.D.

  • General Practice Dentistry
  • Vicksburg, MS
  • NPI 1821150194
  NPD (past)

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

{
    "created_epoch": "1742342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742342400000",
    "number": "1952101784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3205 WISCONSIN AVE",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391805350",
            "telephone_number": "601-634-6080",
            "fax_number": "601-634-6081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3205 WISCONSIN AVE",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391805350",
            "telephone_number": "601-634-6080",
            "fax_number": "601-634-6081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLDENBURG FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-19",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A",
        "authorized_official_last_name": "OLDENBURG",
        "authorized_official_first_name": "SAVANNAH",
        "authorized_official_middle_name": "CHANDLER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-634-6080",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Noye
• Nulife Health Care LLC
• Nulife Healthcare, LLC
• Fredrick O'Quinn
• Odyssey Adult Day Services
• Savannah Chandler Oldenburg, DMD
• Takaila Oliphant
• Olatunji Jonathan Oluwatade, MD
• On Call Nursing Agency (NA)
• Amber Nicole Overstreet, AGACNP

• Dental Clinic/Center in Vicksburg, MS
• Providers in Vicksburg, MS by specialty
• Dental Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; 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.