Organization · Type 2 NPI
Immediate Smiles
Oral and Maxillofacial Surgery (Dentist) · Oklahoma City, OK
NPI number
1912640145
Active
Practice location
11317 S Western Ave Ste 100B
Oklahoma City, OK 73170-5848
Fax (405) 369-7330
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.
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About NPI 1912640145
Immediate Smiles's National Provider Identifier is 1912640145, issued on Apr 15, 2022. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Oklahoma City, OK. The record was last updated on Apr 15, 2022.