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Eastern Oklahoma Oral And Maxillofacial Surgeons
Oral and Maxillofacial Surgery (Dentist) in Broken Arrow, Oklahoma
NPI 1487074704

Eastern Oklahoma Oral And Maxillofacial Surgeons is a Oral and Maxillofacial Surgery (Dentist) based in Broken Arrow, OK and is specialized in Oral and Maxillofacial Surgery. Eastern Oklahoma Oral And Maxillofacial Surgeons practices in Broken Arrow, OK. The NPI Number for Eastern Oklahoma Oral And Maxillofacial Surgeons is 1487074704 and holds a License No. (Oklahoma).

The current practice location address for Eastern Oklahoma Oral And Maxillofacial Surgeons is 4716 W Urbana St, Broken Arrow, OK and can be reached out via phone at 918-449-5800 and via fax at 918-455-8958.

Location: 4716 W Urbana St, Broken Arrow, OK, 74012-5997
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1487074704
Provider Name
Eastern Oklahoma Oral And Maxillofacial Surgeons
Credential
Provider Entity Type
Organization
Address
4716 W Urbana St, Broken Arrow, OK, 74012-5997
Phone Number
918-449-5800
Fax Number
918-455-8958
Provider Enumeration Date
04/25/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200537790A 05 OK
200537790B 05 OK
institution
Provider Business Practice Location Address Details
Address
4716 W Urbana St
City
Broken Arrow
State
Oklahoma
Zip
74012-5997
Phone Number
918-449-5800
Fax Number
918-455-8958
person
Provider Business Mailing Address Details
Address
4716 W Urbana St
City
Broken Arrow
State
Oklahoma
Zip
74012-5997
Phone Number
918-449-5800
Fax Number
918-455-8958
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
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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