Wisdom Tooth Center, Pllc

NPI #1801303888 in Moore, Oklahoma

Provider Information

NPI Number: 1801303888
Entity Type: Organization
Organization Name: Wisdom Tooth Center, Pllc
Primary Specialty: Dentist - Oral and Maxillofacial Surgery
Enumeration Date: Dec 29, 2017
Last Updated: Dec 29, 2017

Practice Location

Address: 2745 S I 35 SERVICE RD
City: Moore
State: Oklahoma
ZIP Code: 73160-2715
Phone: (405) 271-4955

Authorized Official

Name: KEVIN S SMITH, DDS
Title: PARTNER
Phone: (405) 271-4955

Specialties & Taxonomy Codes

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

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