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YUKON MAXILLO-FACIAL SURGERY CENTER NPI 1558771170


NPI Information

NPI: 1558771170
Provider Name: YUKON MAXILLO-FACIAL SURGERY CENTER
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
404 S MUSTANG RD
YUKON, OK
ZIP 73099
Phone: (405) 577-7744
Get Directions

YUKON MAXILLO-FACIAL SURGERY CENTER is an oral and maxillofacial surgery dentist in Yukon, 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. YUKON MAXILLO-FACIAL SURGERY CENTER NPI is 1558771170. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

404 S MUSTANG RD
YUKON, OK
ZIP 73099-754
Phone: (405) 577-7744
Fax: (405) 577-7747

The provider's authorized official is Kathy S Dresher .
The authorized official title is Vp Billing and has the following contact phone number (405) 848-7974.

The enumeration date for this NPI number is 5/5/2014 and was last updated on 5/5/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial Surgery5578OKLAHOMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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