Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Elite Oral and Maxillofacial Surgery of Oklahoma, PLLC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1487420352

Elite Oral and Maxillofacial Surgery of Oklahoma, PLLC is an Oral and Maxillofacial Surgery (Dentist) in Tulsa, Oklahoma. Registered with an NPI since 2023.

In the registry since
2023
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

11916 S Oxford Ave Ste 103
Tulsa, OK 74137-7781
Phone: (918) 994-7645
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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 number1487420352
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Creed Cardon — Owner · (918) 998-0996
NPI enumeratedNovember 30, 2023
Last updated in NPPESNovember 30, 2023
Certification dateNovember 30, 2023
Mailing address400 Riverwalk Ter Ste 250, Jenks, OK 74037-5619

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