Unknown Individual – Oral and Maxillofacial Surgery (Dentist), NPI 1154431088
Oral and Maxillofacial Surgery (Dentist)
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
1201 N Stonewall Ave
Oklahoma City, OK 731171214
Phone: (405) 271-4079
Type: Location
621 W Grand Ave
Chickasha, OK 730185813
Phone: (405) 222-0900
Fax: (405) 222-4706
Type: Location
340, West Vandament Avenue, Yukon, Canadian County, Oklahoma, 73099, United States
YUKON, OK 730994640
Phone: (405) 354-6999
Fax: (405) 354-0954
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 73117)
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