Provider Type Icon

EASTERN OKLAHOMA ORAL MAXILLOFACIAL SURGEONS NPI 1629151188


NPI Information

NPI: 1629151188
Provider Name: EASTERN OKLAHOMA ORAL MAXILLOFACIAL SURGEONS
Classification: Oral & Maxillofacial Surgery - 204E00000X
Entity Type: Organization
Address:
2950 S ELM PLACE, SUITE 340
BROKEN ARROW, OK
ZIP 74012
Phone: (918) 451-0944
Get Directions

EASTERN OKLAHOMA ORAL MAXILLOFACIAL SURGEONS is an oral maxillofacial surgery in Broken Arrow, OK. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. EASTERN OKLAHOMA ORAL MAXILLOFACIAL SURGEONS NPI is 1629151188. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2950 S ELM PLACE, SUITE 340
BROKEN ARROW, OK
ZIP 74012
Phone: (918) 451-0944

The provider's authorized official is Vic Hill Trammell .
The authorized official title is Owner / Surgeon and has the following contact phone number (918) 451-0944.

The enumeration date for this NPI number is 10/20/2006 and was last updated on 7/23/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1204E00000XOral & Maxillofacial SurgeryYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.