Provider Demographics
NPI:1821792607
Name:A & E DMD, PLLC
Entity Type:Organization
Organization Name:A & E DMD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:OXER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:863-414-5779
Mailing Address - Street 1:408 W INTERLAKE BLVD
Mailing Address - Street 2:
Mailing Address - City:LAKE PLACID
Mailing Address - State:FL
Mailing Address - Zip Code:33852-0700
Mailing Address - Country:US
Mailing Address - Phone:863-465-0098
Mailing Address - Fax:863-465-1155
Practice Address - Street 1:4511 SUN N LAKE BLVD STE 102
Practice Address - Street 2:
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33872-2169
Practice Address - Country:US
Practice Address - Phone:863-385-1911
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-28
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental