Bartlesville Oral Surgery, Pllc
NPI #1568191096 in Bartlesville, Oklahoma
Provider Information
- NPI Number
- 1568191096
- Entity Type
- Organization
- Organization Name
- Bartlesville Oral Surgery, Pllc
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- Jun 9, 2022
- Last Updated
- Jun 9, 2022
Practice Location
- Address
- 215 SE HOWARD AVE
- City
- Bartlesville
- State
- Oklahoma
- ZIP Code
- 74006
- Phone
- (918) 333-9155
Authorized Official
- Name
- MICHAEL DERRICK MOODY, DDS
- Title
- OWNER
- Phone
- (918) 333-9155
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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