Organization Active NPI

Facial Surgery Center PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Enid, OK
National Provider Identifier
1407266026
Registry record updated May 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
5570 Issued in OK
Legal business name
FACIAL SURGERY CENTER PLLC
Practice address
620 S Madison St
302
Enid, OK 73701-7273
Phone
(580) 242-2800
Fax
(580) 242-2801
NPI assigned
May 5, 2014
Last updated
May 5, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Kathy S Dresher
Title
VP Billing
Phone
(405) 848-7974

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 5570 OK Primary

Addresses

Primary practice location

620 S Madison St
302
Enid, OK 73701-7273

Mailing address

PO Box 108818
Oklahoma City, OK 73101-8818
Phone (405) 848-7974

National Provider Directory

National Provider Directory

Locations

620 S Madison St
Ste 302
Enid, OK 73701
Phone (580) 242-2800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1399248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399248000000",
    "number": "1407266026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 108818",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731018818",
            "telephone_number": "405-848-7974",
            "fax_number": "405-848-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 S MADISON ST",
            "address_2": "302",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737017273",
            "telephone_number": "580-242-2800",
            "fax_number": "580-242-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FACIAL SURGERY CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-05",
        "last_updated": "2014-05-05",
        "status": "A",
        "authorized_official_last_name": "DRESHER",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "VP BILLING",
        "authorized_official_telephone_number": "405-848-7974",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OK",
            "license": "5570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enid, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.