Eastern Oklahoma Oral And Maxillofacial Surgeons

LBN: Eastern Oklahoma Oral And Maxillofacial Surgeons
Eastern Oklahoma Oral And Maxillofacial Surgeons is an health care organization with primary practice located at 4716 W Urbana St , Broken Arrow OK 74012-5997. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Eastern Oklahoma Oral And Maxillofacial Surgeons can be contacted via phone (918) 449-5800, or through Roe, Angie via phone (888) 247-1869.

Contact Information

Primary practice address
4716 W Urbana St Broken Arrow OK 74012-5997
Phone: (918) 449-5800
Fax: (918) 455-8958
Website:
Map and Directions
Authorized official contact:
Name: Roe, Angie
Phone: (888) 247-1869

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X

Profile Details

NPI number 1487074704
LBN Legal business name Eastern Oklahoma Oral And Maxillofacial Surgeons
DBA Doing business as
Authorized official Roe, Angie
Entity Organization
Organization subpart 1 No
Enumeration date Apr 25th, 2014
Last updated Mar 17th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487074704 NPPES
Oklahoma MEDICAID 200537790A
Oklahoma MEDICAID 200537790B

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