DR. PRESTON ALLEN MERCURIUS BANOUB (DMD) – Oral and Maxillofacial Surgery (Dentist), NPI 1578138376
Oral and Maxillofacial Surgery (Dentist)
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. PRESTON ALLEN MERCURIUS BANOUB (DMD)
1758 NW 82nd St
Lawton, OK 735052356
Phone: (580) 354-7223
Type: Location
1683 24th Ave NW
Norman, OK 730696566
Phone: (405) 253-2253
Type: Location
2123 W Memorial Rd
Oklahoma City, OK 731348013
Phone: (405) 415-1420
Type: Location
6400 SW 3rd St Ste B
Oklahoma City, OK 731282209
Phone: (405) 416-2357
Type: Location
2307 N Perkins Rd
Stillwater, OK 740752234
Phone: (405) 780-4544
Type: Location
65 Jefferson Ave
Elizabeth, NJ 072012474
Phone: (908) 367-7712
Type: Location
66 Somme St
Newark, NJ 071053612
Phone: (973) 221-2567
Type: Location
6447 RIVERDALE LN
GREENDALE, WI 531292853
Phone: (262) 271-2571
Type: Mailing
2730 12TH AVE NW
ARDMORE, OK 734011271
Phone: (580) 226-0010
Type: Location
1900 W POLK ST UNIT 611
CHICAGO, IL 606123723
Phone: (312) 864-0200
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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PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-07-22
PECOS data refreshed: 2026-05-27
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Medicare Utilization (FFS)
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Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 73505)
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