institution
Southeast Oklahoma Oral & Maxillofacial Surgery, Pc
Oral and Maxillofacial Surgery (Dentist) in Ada, Oklahoma
NPI 1306839246

Southeast Oklahoma Oral & Maxillofacial Surgery, Pc is a Oral and Maxillofacial Surgery (Dentist) based in Ada, OK and is specialized in Oral and Maxillofacial Surgery. Southeast Oklahoma Oral & Maxillofacial Surgery, Pc practices in Ada, OK. The NPI Number for Southeast Oklahoma Oral & Maxillofacial Surgery, Pc is 1306839246 and holds a License No. (Oklahoma).

The current practice location address for Southeast Oklahoma Oral & Maxillofacial Surgery, Pc is 803 N Monte Vista St, Ada, OK and can be reached out via phone at 580-332-3010 and via fax at 580-332-3010. You can also correspond with Southeast Oklahoma Oral & Maxillofacial Surgery, Pc through the mailing address at 803 N MONTE VISTA ST, ADA, OK - 74820-7711 (mailing address contact number: 580-332-3010).

Location: 803 N Monte Vista St, Ada, OK, 74820-7711
institution
Provider Profile Details
NPI Number
1306839246
Provider Name
Southeast Oklahoma Oral & Maxillofacial Surgery, Pc
Credential
Provider Entity Type
Organization
Address
803 N Monte Vista St, Ada, OK, 74820-7711
Phone Number
580-332-3010
Fax Number
580-332-3010
Provider Enumeration Date
08/25/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
444583300004 01 OK BCBS
444583300003 01 OK BCBS
787600 01 OK UNITED CONCORDIA
100112550A 05 OK
institution
Provider Business Practice Location Address Details
Address
803 N Monte Vista St
City
Ada
State
Zip
74820-7711
Phone Number
580-332-3010
Fax Number
580-332-3010
person
Provider Business Mailing Address Details
Address
803 N Monte Vista St
City
Ada
State
Zip
74820-7711
Phone Number
580-332-3010
Fax Number
580-332-3010
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
()
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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