Provider Demographics
NPI:1437173283
Name:OXFORD, DANIEL ERIC (DDS)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:ERIC
Last Name:OXFORD
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5518 OLD HICKORY BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:HERMITAGE
Mailing Address - State:TN
Mailing Address - Zip Code:37076-2584
Mailing Address - Country:US
Mailing Address - Phone:615-294-8684
Mailing Address - Fax:615-889-4334
Practice Address - Street 1:5518 OLD HICKORY BLVD STE A
Practice Address - Street 2:
Practice Address - City:HERMITAGE
Practice Address - State:TN
Practice Address - Zip Code:37076-2584
Practice Address - Country:US
Practice Address - Phone:615-294-8684
Practice Address - Fax:615-889-4334
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2008-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX230981223X0400X
TN83651223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics