| Central Oklahoma Oral & Maxillofacial Surgery Associates | |
|
812 S Pine St Stillwater OK 74074-4349 | |
| (405) 624-1300 | |
| (405) 624-3084 |
| Full Name | Central Oklahoma Oral & Maxillofacial Surgery Associates |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 812 S Pine St, Stillwater, Oklahoma |
| Authorized Official Name and Position | Shawnda Kay Phares (OFFICE MANAGER) |
| Authorized Official Contact | 4056241300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Oklahoma Oral & Maxillofacial Surgery Associates 812 S Pine St Stillwater OK 74074-4349 Ph: (405) 624-1300 | Central Oklahoma Oral & Maxillofacial Surgery Associates 812 S Pine St Stillwater OK 74074-4349 Ph: (405) 624-1300 |
| NPI Number | 1467627364 |
|---|---|
| Provider Enumeration Date | 04/23/2008 |
| Last Update Date | 04/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467627364 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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