| Southwest Oral & Maxillofacial Surgery | |
|
916 Sw 38th St Ste A Lawton OK 73505-7005 | |
| (580) 355-6000 | |
| (580) 355-7060 |
| Full Name | Southwest Oral & Maxillofacial Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 916 Sw 38th St Ste A, Lawton, Oklahoma |
| Authorized Official Name and Position | Jason A. Buschman (OWNER) |
| Authorized Official Contact | 5803556000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Oral & Maxillofacial Surgery 916 Sw 38th St Ste A Lawton OK 73505-7005 Ph: (580) 355-6000 | Southwest Oral & Maxillofacial Surgery 916 Sw 38th St Ste A Lawton OK 73505-7005 Ph: (580) 355-6000 |
| NPI Number | 1609006345 |
|---|---|
| Provider Enumeration Date | 07/15/2009 |
| Last Update Date | 07/15/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609006345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 5272 (Oklahoma) | Primary |
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