| Stonewood Hills Oral Maxillofacial Surgery, Inc. | |
|
425 Stone Wood Dr Broken Arrow OK 74012-1026 | |
| (918) 229-0292 | |
| Not Available |
| Full Name | Stonewood Hills Oral Maxillofacial Surgery, Inc. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 425 Stone Wood Dr, Broken Arrow, Oklahoma |
| Authorized Official Name and Position | Desiree W Pinson (PRACTICE MANAGER) |
| Authorized Official Contact | 9182290292 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stonewood Hills Oral Maxillofacial Surgery, Inc. 425 Stone Wood Dr Broken Arrow OK 74012-1026 Ph: (918) 229-0292 | Stonewood Hills Oral Maxillofacial Surgery, Inc. 425 Stone Wood Dr Broken Arrow OK 74012-1026 Ph: (918) 229-0292 |
| NPI Number | 1487019071 |
|---|---|
| Provider Enumeration Date | 12/23/2015 |
| Last Update Date | 12/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487019071 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 5601 (Oklahoma) | Primary |
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