Organization · Type 2 NPI
Southeast Oklahoma Oral & Maxillofacial Surgery, PC
Oral and Maxillofacial Surgery (Dentist) · Ada, OK
NPI number
1306839246
Active
Practice location
803 N Monte Vista St
Ada, OK 74820-7711
Fax (580) 332-3010
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | None 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.
3 other providers at this address
Other oral and maxillofacial surgery (dentist) providers in Ada
About NPI 1306839246
Southeast Oklahoma Oral & Maxillofacial Surgery, PC's National Provider Identifier is 1306839246, issued on Aug 25, 2005. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Ada, OK. The record was last updated on May 6, 2014.