Southeast Oklahoma Oral & Maxillofacial Surgery, Pc
Oral and Maxillofacial Dental Clinic
803 N Monte Vista St, Ada
Oklahoma, 74820-7711
580-332-3010 580-332-3010
Maps & DirectionsSoutheast Oklahoma Oral & Maxillofacial Surgery, Pc is a Oral and Maxillofacial Dental Clinic in Ada, Oklahoma. It is located at 803 N Monte Vista St, Ada, OK and its contact number is 580-332-3010. The authorized person for Southeast Oklahoma Oral & Maxillofacial Surgery, Pc is R. Todd Boone
who is Oral Surgeon And Owner of the clinic and their contact number is 580-332-3010. Other organizations associated with this clinic are Nova Oral Surgery Llc, Southeast Oklahoma Oral & Maxillofacial Surgery, Pc,
Southeast Oklahoma Oral & Maxillofacial Surgery, Pc 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:
Southeast Oklahoma Oral & Maxillofacial Surgery, Pc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Southeast Oklahoma Oral & Maxillofacial Surgery, Pc |
| Specialization: | Oral and Maxillofacial Surgery |
| Clinic Address: | 803 N Monte Vista St, Ada,
Oklahoma, 74820-7711 |
| Phone: | 580-332-3010 |
| Fax: | 580-332-3010 |
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: | R. Todd Boone |
| Position: | Oral Surgeon And Owner |
| Contact Number: | 580-332-3010 |
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 Southeast Oklahoma Oral & Maxillofacial Surgery, Pc clinic are as mentioned below.
| NPI Number: | 1306839246 |
| NPI Enumeration Date: | 25 Aug, 2005 |
| NPI Last Update On: | 06 May, 2014 |
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 |
| Nova Oral Surgery Llc | Oral and Maxillofacial Surgery | 1225747736 |
| Southeast Oklahoma Oral & Maxillofacial Surgery, Pc | Oral and Maxillofacial Surgery | 1306839246 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Southeast Oklahoma Oral & Maxillofacial Surgery, Pc 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 |
| 444583300004 | Other | Oklahoma | Bcbs |
| 444583300003 | Other | Oklahoma | Bcbs |
| 787600 | Other | Oklahoma | United Concordia |
| 100112550A | 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: | Southeast Oklahoma Oral & Maxillofacial Surgery, Pc
803 N Monte Vista St,
Ada, Oklahoma |
| Zip: | 74820-7711 |
| Phone Number: | 580-332-3010 |
| Fax Number: | 580-332-3010 |
Patients can reach Southeast Oklahoma Oral & Maxillofacial Surgery, Pc at
803 N Monte Vista St, Ada, Oklahoma or can
call to book an appointment on 580-332-3010.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.