Provider Demographics
NPI:1982043436
Name:DENTAL OASIS, PLLC
Entity Type:Organization
Organization Name:DENTAL OASIS, PLLC
Other - Org Name:TEXAS DENTAL OASIS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:KIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:361-749-1992
Mailing Address - Street 1:600 CUT OFF RD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:PORT ARANSAS
Mailing Address - State:TX
Mailing Address - Zip Code:78373-4245
Mailing Address - Country:US
Mailing Address - Phone:361-749-1992
Mailing Address - Fax:361-749-1993
Practice Address - Street 1:600 CUT OFF RD
Practice Address - Street 2:SUITE 2
Practice Address - City:PORT ARANSAS
Practice Address - State:TX
Practice Address - Zip Code:78373-4245
Practice Address - Country:US
Practice Address - Phone:361-749-1992
Practice Address - Fax:361-749-1993
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-18
Last Update Date:2013-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX273191223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty