| Elite Oral And Maxillofacial Surgery Of Oklahoma, Pllc | |
|
11916 S Oxford Ave Ste 103 Tulsa OK 74137-7781 | |
| (918) 994-7645 | |
| Not Available |
| Full Name | Elite Oral And Maxillofacial Surgery Of Oklahoma, Pllc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 11916 S Oxford Ave Ste 103, Tulsa, Oklahoma |
| Authorized Official Name and Position | Creed Cardon (OWNER) |
| 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, Pllc 400 Riverwalk Ter Ste 250 Jenks OK 74037-5619 Ph: () - | Elite Oral And Maxillofacial Surgery Of Oklahoma, Pllc 11916 S Oxford Ave Ste 103 Tulsa OK 74137-7781 Ph: (918) 994-7645 |
| NPI Number | 1487420352 |
|---|---|
| Provider Enumeration Date | 11/30/2023 |
| Last Update Date | 11/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487420352 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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