Live Oak Oral Surgery Of Oklahoma Pllc | |
5405 Sw Daun Lawton OK 73505-8508 | |
(580) 699-3131 | |
(580) 699-3151 |
Full Name | Live Oak Oral Surgery Of Oklahoma Pllc |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 5405 Sw Daun, Lawton, Oklahoma |
Authorized Official Name and Position | Michael J Gliddon (OWNER) |
Authorized Official Contact | 5806993131 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Live Oak Oral Surgery Of Oklahoma Pllc Po Box 258841 Oklahoma City OK 73125-8841 Ph: (580) 699-3131 | Live Oak Oral Surgery Of Oklahoma Pllc 5405 Sw Daun Lawton OK 73505-8508 Ph: (580) 699-3131 |
NPI Number | 1053986935 |
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Provider Enumeration Date | 05/24/2021 |
Last Update Date | 05/24/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053986935 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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Robert L Miracle, Dmd, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1810 Nw Ferris Ave, Lawton, OK 73507 Phone: 580-355-1314 Fax: 580-355-1027 | |
Charles C. Owens, Dds, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1316 Nw Ferris Ave, Lawton, OK 73507 Phone: 580-248-6062 Fax: 580-248-6065 | |
David J Harrell Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4417 West Gore Blvd, Suite 10, Lawton, OK 73505 Phone: 580-248-7333 Fax: 580-248-7365 | |
Ocean Dental, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5314 Nw Cache Rd, Lawton, OK 73505 Phone: 580-565-0606 Fax: 580-565-0601 | |
Brett R. Warn, D.d.s., Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 502 Nw Sheridan Rd Ste 5, Lawton, OK 73505 Phone: 580-248-4224 Fax: 580-248-4299 | |
Wuse H. Cara, Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1116 Nw Arlington Ave, Lawton, OK 73507 Phone: 580-355-2345 Fax: 580-353-0860 |