Provider Demographics
NPI:1487492278
Name:BAILEY, OKSANA (DMD)
Entity type:Individual
Prefix:DR
First Name:OKSANA
Middle Name:
Last Name:BAILEY
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 1:237 E INTERNATIONAL SPEEDWAY BLVD STE 1B
Mailing Address - Street 2:
Mailing Address - City:DELAND
Mailing Address - State:FL
Mailing Address - Zip Code:32724-2339
Mailing Address - Country:US
Mailing Address - Phone:386-943-9990
Mailing Address - Fax:386-943-8988
Practice Address - Street 1:237 E INTERNATIONAL SPEEDWAY BLVD STE 1B
Practice Address - Street 2:
Practice Address - City:DELAND
Practice Address - State:FL
Practice Address - Zip Code:32724-2339
Practice Address - Country:US
Practice Address - Phone:386-943-9990
Practice Address - Fax:386-943-8988
Is Sole Proprietor?:No
Enumeration Date:2024-07-17
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL29048122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist