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