Michael 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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.