Provider Demographics
NPI:1285842831
Name:OXFORD, ISABELL G (DMD)
Entity Type:Individual
Prefix:DR
First Name:ISABELL
Middle Name:G
Last Name:OXFORD
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 HEALTH PARK BLVD
Mailing Address - Street 2:SUITE 216
Mailing Address - City:ST AUGUSTINE
Mailing Address - State:FL
Mailing Address - Zip Code:32086-5797
Mailing Address - Country:US
Mailing Address - Phone:904-810-2345
Mailing Address - Fax:904-810-5334
Practice Address - Street 1:201 HEALTH PARK BLVD
Practice Address - Street 2:SUITE 216
Practice Address - City:ST AUGUSTINE
Practice Address - State:FL
Practice Address - Zip Code:32086-5797
Practice Address - Country:US
Practice Address - Phone:904-810-2345
Practice Address - Fax:904-810-5334
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN143021223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice