Individual provider · Type 1 NPI

Michael John Gliddon, DDS

Oral and Maxillofacial Surgery (Dentist) · Lawton, OK

NPI number 1285604553 Active

Practice location

3617 W. Gore Blvd., Suite B
Lawton, OK 73505-6373

Fax (580) 248-1860

Mailing address

3617 W. Gore Blvd, Suite B
Lawton, OK 73505-6373

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) 1223S0112X19422 (TX)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X160 (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.

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About NPI 1285604553

Michael John Gliddon, DDS's National Provider Identifier is 1285604553, issued on Jan 26, 2006. 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 Mar 5, 2012.