| Elite Oral And Maxillofacial Surgery Of Oklahoma City, Pllc | |
|
340 W Vandament Ave Yukon OK 73099-4640 | |
| (918) 998-0996 | |
| Not Available |
| Full Name | Elite Oral And Maxillofacial Surgery Of Oklahoma City, Pllc |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 340 W Vandament Ave, Yukon, Oklahoma |
| Authorized Official Name and Position | Creed Cardon (OWNER/DENTIST) |
| Authorized Official Contact | 9189980996 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Oral And Maxillofacial Surgery Of Oklahoma City, Pllc 400 Riverwalk Ter Ste 250 Jenks OK 74037-5619 Ph: (918) 998-0996 | Elite Oral And Maxillofacial Surgery Of Oklahoma City, Pllc 340 W Vandament Ave Yukon OK 73099-4640 Ph: (918) 998-0996 |
| NPI Number | 1174333744 |
|---|---|
| Provider Enumeration Date | 01/07/2025 |
| Last Update Date | 01/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174333744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | (* (Not Available)) | Primary |
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