Southeast Oklahoma Oral & Maxillofacial Surgery, Pc in Ada - Oral And Maxillofacial Surgery
Southeast Oklahoma Oral & Maxillofacial Surgery, Pc - NPI 1306839246
Southeast Oklahoma Oral & Maxillofacial Surgery, Pc is a Oral And Maxillofacial Surgery in Ada, Oklahoma. Southeast Oklahoma Oral & Maxillofacial Surgery, Pc practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Southeast Oklahoma Oral & Maxillofacial Surgery, Pc is 1306839246. The last update date is 2014-05-06.
Southeast Oklahoma Oral & Maxillofacial Surgery, Pc's current location address is 803 N Monte Vista St, Ada, Oklahoma. You can contact this provider via phone number 5803323010 and fax number 5803323010. The mailing address for Southeast Oklahoma Oral & Maxillofacial Surgery, Pc is 803 N Monte Vista St, Ada, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southeast Oklahoma Oral & Maxillofacial Surgery, Pc |
|---|---|
| Address | 803 N Monte Vista St, Ada, Oklahoma |
| Phone Number | 5803323010 |
| Fax Number | 5803323010 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ORAL SURGE |
|---|---|
| Authorized Official Name | Boone Todd R. |
| Credentials | DDS |
| Telephone Number | 5803323010 |
NPI Number Detail
| NPI Number | 1306839246 |
|---|---|
| Provider Enumeration Date | 2005-08-25 |
| Last Updated Date | 2014-05-06 |
Provider Mailing Address Detail
| Address | 803 N Monte Vista St |
|---|---|
| City | Ada |
| State | Oklahoma (OK) |
| Post Code | 748207711 |
| Phone Number | 5803323010 |
| Fax Number | 5803323010 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
|
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 444583300004 | OK | BCBS | |
| 444583300003 | OK | BCBS | |
| 787600 | OK | UNITED CONCORDIA | |
| 100112550A | OK | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Southeast Oklahoma Oral & Maxillofacial Surgery, Pc by the Centers for Medicare & Medicaid Services?
The Southeast Oklahoma Oral & Maxillofacial Surgery, Pc has been assigned the NPI (National Provider Identifier) 1306839246 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Southeast Oklahoma Oral & Maxillofacial Surgery, Pc?
The Southeast Oklahoma Oral & Maxillofacial Surgery, Pc is situated at 803 N Monte Vista St, in the city of Ada, state of OK, with the zip code 748207711.
What is Southeast Oklahoma Oral & Maxillofacial Surgery, Pc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Southeast Oklahoma Oral & Maxillofacial Surgery, Pc's area of specialization is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this field of practice is 1223S0112X.
When did Southeast Oklahoma Oral & Maxillofacial Surgery, Pc receive its 1306839246 assignment?
The Southeast Oklahoma Oral & Maxillofacial Surgery, Pc was assigned its 1306839246 on 2005-08-25, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Southeast Oklahoma Oral & Maxillofacial Surgery, Pc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Southeast Oklahoma Oral & Maxillofacial Surgery, Pc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-05-06.
NPI Number: 1134122146
Address: P. O. Box 31911, Tampa, FL
NPI Number: 1629071758
Address: 1600 Prairie Center Pkwy, Brighton, CO