NPI 1629151188

Eastern Oklahoma Oral Maxillofacial Surgeons

Organisation Oral & Maxillofacial Surgery (D.M.D.) Broken Arrow, OK

Practice location

Address: 2950 S Elm Place, Suite 340, Broken Arrow, OK 74012
Phone: (918) 451-0944
Mailing address: 4716 W Urbana St, Broken Arrow, OK 74012-5997

Authorised official

Name: Vic Hill Trammell
Title: Owner / Surgeon
Phone: (918) 451-0944

Registered specialties

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X

Other Oral & Maxillofacial Surgery providers in Oklahoma →

Registry record

NPI: 1629151188
Entity type: Organization
NPI issued: 20 Oct 2006
Record last updated: 23 Jul 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.