EASTERN OKLAHOMA ORAL AND MAXILLOFACIAL SURGEONS – Oral and Maxillofacial Surgery (Dentist), NPI 1487074704

EASTERN OKLAHOMA ORAL AND MAXILLOFACIAL SURGEONS is a healthcare provider. based in Broken arrow, Oklahoma. specializing in Oral and Maxillofacial Surgery (Dentist). The NPI Number for EASTERN OKLAHOMA ORAL AND MAXILLOFACIAL SURGEONS is 1487074704

Main info

Organization
Name
EASTERN OKLAHOMA ORAL AND MAXILLOFACIAL SURGEONS
NPI
1487074704
Phone
(918) 449-5800
Address
4716 W URBANA ST
Authorized Official
MS. ANGIE ROE CREDENTIALING AND CONTRACTING
Enumeration Date
25 April 2014
Last Update Date
17 March 2018
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience29
Completeness75
Years active:12State licenses:0Digital endpointsOther names

Provider Addresses for EASTERN OKLAHOMA ORAL AND MAXILLOFACIAL SURGEONS

  • 4716 W URBANA ST

    BROKEN ARROW, OK 740125997

    Phone: (918) 449-5800

    Fax: (918) 455-8958

    Type: Location

  • 12802 E 101st Pl N

    Owasso, OK 740554662

    Phone: (918) 274-0944

    Fax: (918) 274-1366

    Type: Location

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)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 74012)

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Frequently asked questions

What unique ID ties claims to EASTERN OKLAHOMA ORAL AND MAXILLOFACIAL SURGEONS?
NPI 1487074704 is assigned to EASTERN OKLAHOMA ORAL AND MAXILLOFACIAL SURGEONS under the national enumeration system.
Is EASTERN OKLAHOMA ORAL AND MAXILLOFACIAL SURGEONS's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does EASTERN OKLAHOMA ORAL AND MAXILLOFACIAL SURGEONS work in?
You can think of EASTERN OKLAHOMA ORAL AND MAXILLOFACIAL SURGEONS as practicing within Oral and Maxillofacial Surgery (Dentist). Clinical services aligned with this taxonomy classification.
What location metadata exists for EASTERN OKLAHOMA ORAL AND MAXILLOFACIAL SURGEONS?
The page summarizes Broken Arrow, Oklahoma for EASTERN OKLAHOMA ORAL AND MAXILLOFACIAL SURGEONS; expand the address list for detail.
Is EASTERN OKLAHOMA ORAL AND MAXILLOFACIAL SURGEONS a real provider?
This page reflects official NPPES data for NPI 1487074704. Always confirm identity and privileges with the practice and licensing boards.

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