Foothills Oral & Maxillofacial Surgery

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1942521687

Foothills Oral & Maxillofacial Surgery is an Oral and Maxillofacial Surgery (Dentist) in Tahlequah, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2010.

Licensed in: OK
In the registry since: 2010

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Practice location Address checks out

1500 E Downing St
Tahlequah, OK 74464-3234
Phone: (918) 456-0671
Fax: (918) 457-5761

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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 · Licence 147 (OK)

Record details

NPI number	1942521687
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Michael Winkler — Ceo · (918) 457-9779
NPI enumerated	June 17, 2010
Last updated in NPPES	June 17, 2010
Mailing address	29062 S 558 Rd, Park Hill, OK 74451-2876