Organization · Type 2 NPI

Eastern Oklahoma Oral and Maxillofacial Surgeons

Oral and Maxillofacial Surgery (Dentist) · Broken Arrow, OK

NPI number 1487074704 Active

Practice location

4716 W Urbana St
Broken Arrow, OK 74012-5997

Fax (918) 455-8958

Other practice locations

  • 12802 E 101st Pl N, Owasso, OK 74055-4662 · (918) 274-0944

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.

7 other providers at this address

Other oral and maxillofacial surgery (dentist) providers in Broken Arrow

See all in Broken Arrow →

About NPI 1487074704

Eastern Oklahoma Oral and Maxillofacial Surgeons's National Provider Identifier is 1487074704, issued on Apr 25, 2014. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Broken Arrow, OK. The record was last updated on Mar 17, 2018.