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

Michael J. Gliddon Dba Live Oak Oral Surgery

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1265735724

Michael J. Gliddon Dba Live Oak Oral Surgery is an Oral and Maxillofacial Surgery (Dentist) in Lawton, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2010.

Licensed in
OK
In the registry since
2010

Practice location Address checks out

1415 NW 33rd St
Lawton, OK 73505-3806
Phone: (580) 699-3131
Fax: (580) 699-3151
Show map & directions

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

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 160 (OK)

Record details

NPI number1265735724
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vera Ann Wellner — Credentialing Rep · (405) 848-7974
NPI enumeratedDecember 6, 2010
Last updated in NPPESNovember 13, 2013
Mailing address3000 United Founders Blvd, Suite 237, Oklahoma City, OK 73112-3958

Other providers in Lawton