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

Oklahoma Aesthetic Reconstructive Surgery LLC

Organization Plastic and Reconstructive Surgery Physician · NPI 1932879699

Oklahoma Aesthetic Reconstructive Surgery LLC is a Plastic and Reconstructive Surgery Physician in Oklahoma City, Oklahoma. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

13820 Wireless Way
Oklahoma City, OK 73134-2501
Phone: (405) 246-0391
Fax: (405) 246-0392
Show map & directions

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

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X

Record details

NPI number1932879699
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stacey Dill — Office Administrator · (405) 735-9700
NPI enumeratedSeptember 15, 2021
Last updated in NPPESOctober 29, 2021
Certification dateOctober 29, 2021
Mailing address2708 W Country Club Dr, Oklahoma City, OK 73116-4219

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