Ron L Graves in Ardmore - Oral And Maxillofacial Surgery

Ron L Graves - NPI 1184615890

Ron L Graves is a Oral And Maxillofacial Surgery in Ardmore, Oklahoma. Ron L Graves practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Ron L Graves is 1184615890. The last update date is 2014-01-13.

Ron L Graves's current location address is 1119 Walnut Dr, Ardmore, Oklahoma. You can contact this provider via phone number 5802261727 and fax number 5802269413. The mailing address for Ron L Graves is 1119 Walnut Dr, Ardmore, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Name Ron L Graves
Address 1119 Walnut Dr, Ardmore, Oklahoma
Phone Number 5802261727
Fax Number 5802269413
Sole Proprietor N
Credentials D.D.S.

NPI Number Detail

NPI Number 1184615890
Provider Enumeration Date 2005-11-02
Last Updated Date 2014-01-13

Provider Mailing Address Detail

Address 1119 Walnut Dr
City Ardmore
State Oklahoma (OK)
Post Code 734012360
Phone Number 5802261727
Fax Number 5802269413

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Surgery
Taxonomy 1223S0112X
Licence No 3389
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
100093480A OK --

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FAQs about Ron L Graves

What is the unique 10-digit identifier code issued to Ron L Graves by the Centers for Medicare & Medicaid Services?

The Ron L Graves has been assigned the NPI (National Provider Identifier) 1184615890 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete address where Ron L Graves is physically located?

The Ron L Graves is situated at the following address: 1119 Walnut Dr, Ardmore, OK 734012360.

What is Ron L Graves's specialized field of practice, and what is the corresponding taxonomy classification code?

The Ron L Graves's area of specialization is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this field of practice is 1223S0112X.

On what date was the 1184615890 assigned to Ron L Graves?

The Ron L Graves was issued its 1184615890 on 2005-11-02, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

On what date did the Ron L Graves receive the assignment of its 1184615890 from the Centers for Medicare & Medicaid Services?

The Ron L Graves was issued its 1184615890 by the Centers for Medicare & Medicaid Services on 2005-11-02.

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