Organization · Type 2 NPI

Elite Oral and Maxillofacial Surgery of Oklahoma, PLLC

Oral and Maxillofacial Surgery (Dentist) · Tulsa, OK

NPI number 1487420352 Active

Practice location

11916 S Oxford Ave Ste 103
Tulsa, OK 74137-7781

Mailing address

400 Riverwalk Ter Ste 250
Jenks, OK 74037-5619

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.

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About NPI 1487420352

Elite Oral and Maxillofacial Surgery of Oklahoma, PLLC's National Provider Identifier is 1487420352, issued on Nov 30, 2023. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Tulsa, OK. The record was last updated on Nov 30, 2023.