institution
Michael J. Gliddon Dba Live Oak Oral Surgery
Oral and Maxillofacial Surgery (Dentist) in Lawton, Oklahoma
NPI 1265735724

Michael J. Gliddon Dba Live Oak Oral Surgery is a Oral and Maxillofacial Surgery (Dentist) based in Oklahoma City, OK and is specialized in Oral and Maxillofacial Surgery. Michael J. Gliddon Dba Live Oak Oral Surgery practices in Lawton, OK. The NPI Number for Michael J. Gliddon Dba Live Oak Oral Surgery is 1265735724 and holds a License No. 160 (Oklahoma).

The current practice location address for Michael J. Gliddon Dba Live Oak Oral Surgery is 1415 Nw 33Rd St, Lawton, OK and can be reached out via phone at 580-699-3131 and via fax at 580-699-3151. You can also correspond with Michael J. Gliddon Dba Live Oak Oral Surgery through the mailing address at 3000 UNITED FOUNDERS BLVD, OKLAHOMA CITY, OK - 73112-3958 (mailing address contact number: 405-848-7974).

Location: 1415 Nw 33Rd St, Lawton, OK, 73112-3958
institution
Provider Profile Details
NPI Number
1265735724
Provider Name
Michael J. Gliddon Dba Live Oak Oral Surgery
Credential
Provider Entity Type
Organization
Address
1415 Nw 33Rd St, Lawton, OK, 73112-3958
Phone Number
580-699-3131
Fax Number
580-699-3151
Provider Enumeration Date
12/06/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1415 Nw 33Rd St
City
State
Zip
73505-3806
Phone Number
580-699-3131
Fax Number
580-699-3151
person
Provider Business Mailing Address Details
Address
1415 Nw 33Rd St
City
State
Zip
73505-3806
Phone Number
580-699-3131
Fax Number
580-699-3151
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
160 (Oklahoma)
Definition
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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