Organization · Type 2 NPI
Souhwest Oral Surgery PC
Oral and Maxillofacial Surgery (Dentist) · Lawton, OK
NPI number
1134596166
Active
Practice location
3617 W Gore Blvd Ste B
Lawton, OK 73505-6373
Fax (580) 355-7060
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 6721 (OK) |
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.
Another provider at this address
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About NPI 1134596166
Souhwest Oral Surgery PC's National Provider Identifier is 1134596166, issued on Aug 25, 2015. 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 Oct 25, 2019.