Nova Oral Surgery LLC

NPI #1225747736 in Ada, Oklahoma

Provider Information

NPI Number: 1225747736
Entity Type: Organization
Organization Name: Nova Oral Surgery LLC
Primary Specialty: Dentist - Oral and Maxillofacial Surgery
Enumeration Date: Nov 23, 2022
Last Updated: Nov 23, 2022

Practice Location

Address: 803 N MONTE VISTA ST
City: Ada
State: Oklahoma
ZIP Code: 74820-7711
Phone: (580) 332-3010

Authorized Official

Name: HANS CHARLES IGOU, DDS
Title: OWNER
Phone: (580) 332-3010

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X	Primary

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Individual Providers

Provider Name	Specialty	City
DR. Richard Todd Boone, DDS	Dentist - Oral and Maxillofacial Surgery	Ada	AI Deep Dive
Carol Mcdaniel, DDS	Dentist - Oral and Maxillofacial Surgery	Ada	AI Deep Dive
DR. James Wilson Hackler, D.D.S	Dentist - Oral and Maxillofacial Surgery	Tulsa	AI Deep Dive
DR. Steven M Sullivan	Dentist - Oral and Maxillofacial Surgery	Oklahoma City	AI Deep Dive

Organizations

Provider Name	Specialty	City
Southeast Oklahoma Oral & Maxillofacial Surgery, PC	Dentist - Oral and Maxillofacial Surgery	Ada	AI Deep Dive

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