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

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1053986935

Live Oak Oral Surgery of Oklahoma PLLC is an Oral and Maxillofacial Surgery (Dentist) in Lawton, Oklahoma. Works from 2 locations. Registered with an NPI since 2021.

In the registry since
2021
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

5405 SW Daun
Lawton, OK 73505-8508
Phone: (580) 699-3131
Fax: (580) 699-3151
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1610 W Jones Ave, Duncan, OK 73533-1732 — (580) 699-3131

Specialties & licences

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

Record details

NPI number1053986935
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Gliddon — Owner · (580) 699-3131
NPI enumeratedMay 24, 2021
Last updated in NPPESMay 24, 2021
Certification dateMay 24, 2021
Mailing addressPo Box 258841, Oklahoma City, OK 73125-8841

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