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

Eastern Oklahoma Oral Maxillofacial Surgeons

Organization Oral & Maxillofacial Surgery (D.M.D.) · NPI 1629151188

Eastern Oklahoma Oral Maxillofacial Surgeons is an Oral & Maxillofacial Surgery (D.M.D.) in Broken Arrow, Oklahoma. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

2950 S Elm Pl Ste 340
Broken Arrow, OK 74012
Phone: (918) 451-0944
Show map & directions

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

Specialties & licences

Oral & Maxillofacial Surgery (D.M.D.) (primary) Taxonomy 204E00000X

Record details

NPI number1629151188
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vic Trammell — Owner / Surgeon · (918) 451-0944
NPI enumeratedOctober 20, 2006
Last updated in NPPESJuly 23, 2018
Mailing address4716 W Urbana St, Broken Arrow, OK 74012-5997