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Contact Information

EASTERN OKLAHOMA ORAL MAXILLOFACIAL SURGEONS
2950 S ELM PLACE, SUITE 340
BROKEN ARROW, OK74012
 Phone: 918-451-0944
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral & Maxillofacial Surgery

204E00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for EASTERN OKLAHOMA ORAL MAXILLOFACIAL SURGEONS

NPI # 1629151188
LBN Legal business name EASTERN OKLAHOMA ORAL MAXILLOFACIAL SURGEONS
Authorized official VIC TRAMMELL - (OWNER / SURGEON)
Entity Organization
Organization subpart 1 No
Enumeration date 10/20/2006
Last updated 07/23/2018 - About 8 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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