Eastern Oklahoma Oral And Maxillofacial Surgeons
Dentist, Oral and Maxillofacial Surgery in Broken Arrow, OK. Organization (NPI-2).
NPI number1487074704
StatusActive
Last updated in NPPESMar 17, 2018
Details
- NPI
- 1487074704
- Entity type
- Organization (NPI-2)
- Legal business name
- Eastern Oklahoma Oral And Maxillofacial Surgeons
- Organization subpart
- No
- Enumeration date
- Apr 25, 2014
- Last updated
- Mar 17, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | – | – | Yes |
Practice location
4716 W Urbana StBroken Arrow, OK 74012-5997
Phone 918-449-5800 · Fax 918-455-8958
Mailing address
4716 W Urbana StBroken Arrow, OK 74012-5997
Phone 918-449-5800 · Fax 918-455-8958
Other practice locations
12802 E 101st Pl N
Owasso, OK 74055-4662
Owasso, OK 74055-4662
Phone 918-274-0944 · Fax 918-274-1366
Authorized official
Angie Roe
Credentialing And Contracting
8882471869
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Oral and Maxillofacial Surgery (Dentist) providers in Broken Arrow, OK
- Rocky Don Cullens, DDSNPI 1528086352
- D. Todd Johnson DDS, PCNPI 1912221052
- Heath Harris Evans, DDSNPI 1417187063
- Michael Anthony Lloyd, DMD, MDNPI 1396188116
- Medical Consultant ServicesNPI 1033560966
- Cody Hayes Mumma, DDSNPI 1003313594
- Kipley Powell, DDSNPI 1205450319
- Christopher Kevin Ray, DDSNPI 1730618760
- Gregory D Segraves, D.D.S., M.S.NPI 1508073438
- Stonewood Hills Oral Maxillofacial Surgery, INC.NPI 1487019071
All 13 Oral and Maxillofacial Surgery (Dentist) providers in Broken Arrow · All 2,347 providers in Broken Arrow
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.