Michael J. Gliddon Dba Live Oak Oral Surgery

LBN: Michael J. Gliddon Dba Live Oak Oral Surgery
Michael J. Gliddon Dba Live Oak Oral Surgery is an health care organization with primary practice located at 1415 Nw 33Rd St , Lawton OK 73505-3806. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Michael J. Gliddon Dba Live Oak Oral Surgery can be contacted via phone (580) 699-3131, or through Wellner, Vera Ann via phone (405) 848-7974.

Contact Information

Primary practice address
1415 Nw 33Rd St Lawton OK 73505-3806
Phone: (580) 699-3131
Fax: (580) 699-3151
Website:
Map and Directions
Authorized official contact:
Name: Wellner, Vera Ann
Phone: (405) 848-7974

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 160 Oklahoma

Profile Details

NPI number 1265735724
LBN Legal business name Michael J. Gliddon Dba Live Oak Oral Surgery
DBA Doing business as
Authorized official Wellner, Vera Ann
Entity Organization
Organization subpart 1 No
Enumeration date Dec 6th, 2010
Last updated Nov 13th, 2013 - about 11 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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