SOUTHEAST OKLAHOMA ORAL & MAXILLOFACIAL SURGERY, PC is an oral and maxillofacial surgery dentist in Ada, OK. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. SOUTHEAST OKLAHOMA ORAL & MAXILLOFACIAL SURGERY, PC NPI is 1306839246. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
803 N MONTE VISTA ST
ADA, OK
ZIP 74820-711
Phone: (580) 332-3010
Fax: (580) 332-3010
The provider's authorized official is R. Todd Boone .
The authorized official title is Oral Surgeon And Owner and has the following contact phone number (580) 332-3010.
The enumeration date for this NPI number is 8/25/2005 and was last updated on 5/6/2014.