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

Eastern Oklahoma Oral and Maxillofacial Surgeons

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1487074704

Eastern Oklahoma Oral and Maxillofacial Surgeons is an Oral and Maxillofacial Surgery (Dentist) in Broken Arrow, Oklahoma. Works from 2 locations. Registered with an NPI since 2014.

In the registry since
2014

Practice location Address checks out

4716 W Urbana St
Broken Arrow, OK 74012-5997
Phone: (918) 449-5800
Fax: (918) 455-8958
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 12802 E 101st Pl N, Owasso, OK 74055-4662 — (918) 274-0944

Specialties & licences

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

Record details

NPI number1487074704
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Angie Roe — Credentialing And Contracting · (888) 247-1869
NPI enumeratedApril 25, 2014
Last updated in NPPESMarch 17, 2018
Mailing address4716 W Urbana St, Broken Arrow, OK 74012-5997

Other providers in Broken Arrow