Eastern Oklahoma Oral And Maxillofacial Surgeons
Oral and Maxillofacial Dental Clinic
4716 W Urbana St, Broken Arrow
Oklahoma, 74012-5997
918-449-5800 918-455-8958
Maps & DirectionsEastern Oklahoma Oral And Maxillofacial Surgeons is a Oral and Maxillofacial Dental Clinic in Broken Arrow, Oklahoma. It is located at 4716 W Urbana St, Broken Arrow, OK and its contact number is 918-449-5800. The authorized person for Eastern Oklahoma Oral And Maxillofacial Surgeons is Ms. Angie Roe
who is Credentialing And Contracting of the clinic and their contact number is 888-247-1869. Other organizations associated with this clinic are Eastern Oklahoma Oral And Maxillofacial Surgeons, D. Todd Johnson Dds, Pc,
Eastern Oklahoma Oral And Maxillofacial Surgeons Clinic deals with 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.
Complete Clinic Profile:
Eastern Oklahoma Oral And Maxillofacial Surgeons Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Eastern Oklahoma Oral And Maxillofacial Surgeons |
| Specialization: | Oral and Maxillofacial Surgery |
| Clinic Address: | 4716 W Urbana St, Broken Arrow,
Oklahoma, 74012-5997 |
| Phone: | 918-449-5800 |
| Fax: | 918-455-8958 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Ms. Angie Roe |
| Position: | Credentialing And Contracting |
| Contact Number: | 888-247-1869 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Eastern Oklahoma Oral And Maxillofacial Surgeons clinic are as mentioned below.
| NPI Number: | 1487074704 |
| NPI Enumeration Date: | 25 Apr, 2014 |
| NPI Last Update On: | 17 Mar, 2018 |
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
| Name | Specialization | NPI Number |
| Eastern Oklahoma Oral And Maxillofacial Surgeons | Oral and Maxillofacial Surgery | 1487074704 |
| D. Todd Johnson Dds, Pc | Oral and Maxillofacial Surgery | 1912221052 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Eastern Oklahoma Oral And Maxillofacial Surgeons are as mentioned below.
| Specialization | License Number | State | Status | |
| Oral and Maxillofacial Surgery | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 200537790A | Medicaid | Oklahoma | |
| 200537790B | Medicaid | Oklahoma | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Eastern Oklahoma Oral And Maxillofacial Surgeons
4716 W Urbana St,
Broken Arrow, Oklahoma |
| Zip: | 74012-5997 |
| Phone Number: | 918-449-5800 |
| Fax Number: | 918-455-8958 |
Patients can reach Eastern Oklahoma Oral And Maxillofacial Surgeons at
4716 W Urbana St, Broken Arrow, Oklahoma or can
call to book an appointment on 918-449-5800.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.