Organization · Type 2 NPI

Central Oklahoma Oral & Maxillofacial Surgery Associates of Tulsa, PC

Oral and Maxillofacial Surgery Clinic/Center · Tulsa, OK

NPI number 1902607476 Active

Practice location

9118 S Toledo Ave
Tulsa, OK 74137-2700

Call (918) 495-1800 Map

Fax (918) 303-7520

Other practice locations

812 S Pine St, Stillwater, OK 74074-4349 · (405) 624-1300

Specialties and licenses

Taxonomy	Code	License
Oral and Maxillofacial Surgery Clinic/Center Primary	261QS0112X	None listed

Oral and Maxillofacial Surgery Clinic/Center: 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

Other oral and maxillofacial surgery clinic/center providers in Tulsa

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NPI record

NPI: 1902607476
Entity type: Organization (Type 2)
Issued: Mar 21, 2025
Last updated: Nov 3, 2025
Status: Active

Other names

Coomsa Oral Surgery Tulsa · doing business as
Central Oklahoma Oral & Maxillofacial Surgery Associates of Tulsa, PC · former legal business name

Authorized official

Richard R Miller, DDS
Owner
(918) 495-1800

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1902607476

Central Oklahoma Oral & Maxillofacial Surgery Associates of Tulsa, PC's National Provider Identifier is 1902607476, issued on Mar 21, 2025. The primary taxonomy on file is Oral and Maxillofacial Surgery Clinic/Center (261QS0112X), and the practice location is in Tulsa, OK. The record was last updated on Nov 3, 2025.