Michael J. Gliddon Dba Live Oak Oral Surgery
Oral and Maxillofacial Dental Clinic
1415 Nw 33rd St, Lawton
Oklahoma, 73505-3806
580-699-3131 580-699-3151
Maps & DirectionsMichael J. Gliddon Dba Live Oak Oral Surgery is a Oral and Maxillofacial Dental Clinic in Lawton, Oklahoma. It is located at 1415 Nw 33rd St, Lawton, OK and its contact number is 580-699-3131. The authorized person for Michael J. Gliddon Dba Live Oak Oral Surgery is Vera Ann Wellner
who is Credentialing Rep of the clinic and their contact number is 405-848-7974. The primary license number for Michael J. Gliddon Dba Live Oak Oral Surgery is 160 (Oral and Maxillofacial Surgery) in Oklahoma.
Michael J. Gliddon Dba Live Oak Oral Surgery 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:
Michael J. Gliddon Dba Live Oak Oral Surgery Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Michael J. Gliddon Dba Live Oak Oral Surgery |
| Specialization: | Oral and Maxillofacial Surgery |
| Clinic Address: | 1415 Nw 33rd St, Lawton,
Oklahoma, 73505-3806 |
| Phone: | 580-699-3131 |
| Fax: | 580-699-3151 |
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: | Vera Ann Wellner |
| Position: | Credentialing Rep |
| Contact Number: | 405-848-7974 |
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 Michael J. Gliddon Dba Live Oak Oral Surgery clinic are as mentioned below.
| NPI Number: | 1265735724 |
| NPI Enumeration Date: | 06 Dec, 2010 |
| NPI Last Update On: | 13 Nov, 2013 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Michael J. Gliddon Dba Live Oak Oral Surgery are as mentioned below.
| Specialization | License Number | State | Status | |
| Oral and Maxillofacial Surgery | 160 | Oklahoma | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Michael J. Gliddon Dba Live Oak Oral Surgery
3000 United Founders Blvd, Suite 237
Oklahoma City, Oklahoma |
| Zip: | 73112-3958 |
| Phone Number: | 405-848-7974 |
| Fax Number: | 405-848-0033 |
Patients can reach Michael J. Gliddon Dba Live Oak Oral Surgery at
1415 Nw 33rd St, Lawton, Oklahoma or can
call to book an appointment on 580-699-3131.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.