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Foothills Oral & Maxillofacial Surgery
Oral and Maxillofacial Surgery (Dentist) in Tahlequah, Oklahoma
NPI 1942521687

Foothills Oral & Maxillofacial Surgery is a Oral and Maxillofacial Surgery (Dentist) based in Park Hill, OK and is specialized in Oral and Maxillofacial Surgery. Foothills Oral & Maxillofacial Surgery practices in Tahlequah, OK. The NPI Number for Foothills Oral & Maxillofacial Surgery is 1942521687 and holds a License No. 147 (Oklahoma).

The current practice location address for Foothills Oral & Maxillofacial Surgery is 1500 E Downing St, Tahlequah, OK and can be reached out via phone at 918-456-0671 and via fax at 918-457-5761.

Location: 1500 E Downing St, Tahlequah, OK, 74451-2876
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1942521687
Provider Name
Foothills Oral & Maxillofacial Surgery
Credential
Provider Entity Type
Organization
Address
1500 E Downing St, Tahlequah, OK, 74451-2876
Phone Number
918-456-0671
Fax Number
918-457-5761
Provider Enumeration Date
06/17/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1500 E Downing St
City
Tahlequah
State
Oklahoma
Zip
74464-3234
Phone Number
918-456-0671
Fax Number
918-457-5761
person
Provider Business Mailing Address Details
Address
1500 E Downing St
City
Tahlequah
State
Oklahoma
Zip
74464-3234
Phone Number
918-456-0671
Fax Number
918-457-5761
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
147 (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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