Provider Demographics
NPI:1992847842
Name:OXENDINE, STARLET MARIE CHAVIS (DDS)
Entity type:Individual
Prefix:DR
First Name:STARLET
Middle Name:MARIE CHAVIS
Last Name:OXENDINE
Suffix:
Gender:F
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:PO BOX 791
Mailing Address - Street 2:
Mailing Address - City:RED SPRINGS
Mailing Address - State:NC
Mailing Address - Zip Code:28377-0791
Mailing Address - Country:US
Mailing Address - Phone:910-843-3353
Mailing Address - Fax:910-843-7240
Practice Address - Street 1:714 E. 4TH AVE
Practice Address - Street 2:
Practice Address - City:RED SPRINGS
Practice Address - State:NC
Practice Address - Zip Code:28377
Practice Address - Country:US
Practice Address - Phone:910-843-3353
Practice Address - Fax:910-843-7240
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC82331223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice