Organization · Type 2 NPI

Foothills Oral & Maxillofacial Surgery

Oral and Maxillofacial Surgery (Dentist) · Tahlequah, OK

NPI number 1942521687 Active

Practice location

1500 E Downing St
Tahlequah, OK 74464-3234

Fax (918) 457-5761

Mailing address

29062 S 558 Rd
Park Hill, OK 74451-2876

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X147 (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.

17 other providers at this address

About NPI 1942521687

Foothills Oral & Maxillofacial Surgery's National Provider Identifier is 1942521687, issued on Jun 17, 2010. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Tahlequah, OK. The record was last updated on Jun 17, 2010.