Oral Surgeons of Oklahoma LLC

NPI #1518755578 in Midwest City, Oklahoma

Provider Information

NPI Number
1518755578
Entity Type
Organization
Organization Name
Oral Surgeons of Oklahoma LLC
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Enumeration Date
Apr 29, 2025
Last Updated
Apr 29, 2025

Practice Location

Address
1382 S DOUGLAS BLVD
ZIP Code
73130-5215
Phone
(405) 741-1962

Authorized Official

Name
CASSIE WIETH
Title
DIRECTOR OF PAYOR RELATIONS
Phone
(623) 267-8121

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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