Organization · Type 2 NPI

Live Oak Oral Surgery of Oklahoma PLLC

Oral and Maxillofacial Surgery (Dentist) · Lawton, OK

NPI number 1053986935 Active

Practice location

5405 SW Daun
Lawton, OK 73505-8508

Fax (580) 699-3151

Mailing address

PO Box 258841
Oklahoma City, OK 73125-8841

Other practice locations

  • 1610 W Jones Ave, Duncan, OK 73533-1732 · (580) 699-3131

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XNone listed

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1053986935

Live Oak Oral Surgery of Oklahoma PLLC's National Provider Identifier is 1053986935, issued on May 24, 2021. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Lawton, OK. The record was last updated on May 24, 2021.