Oldenburg Family Dentistry LLC
NPI #1952101784 in Vicksburg, Mississippi
Provider Information
- NPI Number
- 1952101784
- Entity Type
- Organization
- Organization Name
- Oldenburg Family Dentistry LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Mar 19, 2025
- Last Updated
- Mar 19, 2025
Practice Location
- Address
- 3205 WISCONSIN AVE
- City
- Vicksburg
- State
- Mississippi
- ZIP Code
- 39180-5350
- Phone
- (601) 634-6080
Authorized Official
- Name
- SAVANNAH CHANDLER OLDENBURG, DMD
- Title
- OWNER
- Phone
- (601) 634-6080
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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