Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bartlesville Oral Surgery, PLLC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1568191096

Bartlesville Oral Surgery, PLLC is an Oral and Maxillofacial Surgery (Dentist) in Bartlesville, Oklahoma. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

215 SE Howard Ave
Bartlesville, OK 74006
Phone: (918) 333-9155
Fax: (918) 333-9142
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X

Record details

NPI number1568191096
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Moody — Owner · (918) 333-9155
NPI enumeratedJune 9, 2022
Last updated in NPPESJune 9, 2022
Certification dateJune 9, 2022
Mailing address215 Se Howard Ave, Bartlesville, OK 74006

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