Organization · Type 2 NPI

Oms of Southern Oklahoma PLLC

Oral and Maxillofacial Surgery (Dentist) · Ardmore, OK

NPI number 1447660063 Active

Practice location

1119 Walnut Dr, 2
Ardmore, OK 73401-2364

Fax (580) 226-9413

Mailing address

PO Box 108816
Oklahoma City, OK 73101-8816

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X3389 (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.

4 other providers at this address

About NPI 1447660063

Oms of Southern Oklahoma PLLC's National Provider Identifier is 1447660063, issued on May 5, 2014. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Ardmore, OK. The record was last updated on May 5, 2014.