Oms of Southern Oklahoma PLLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

3389 Issued in OK

Legal business name

OMS OF SOUTHERN OKLAHOMA PLLC

Practice address

1119 Walnut Dr
2
Ardmore, OK 73401-2364

Phone

(580) 226-1727

Fax

(580) 226-9413

NPI assigned

May 5, 2014

Last updated

May 5, 2014By the provider in NPPES

Organization subpart

No

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

Addresses

Practitioners 2

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.

• Ron L Graves, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Ardmore, OK
  • NPI 1184615890
  NPD (past)
• Patrick L Wallace, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Ardmore, OK
  • NPI 1508857053
  NPD (past)

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": "1447660063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 108816",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731018816",
            "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": "1119 WALNUT DR",
            "address_2": "2",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734012364",
            "telephone_number": "580-226-1727",
            "fax_number": "580-226-9413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMS OF SOUTHERN OKLAHOMA 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": "3389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oklahoma Healthcare Opco 2 LLC
• Oklahoma Integrated Care PLC
• Oklahoma Oncology and Hematology, P.C. (Cancer Care Associates)
• Jess Olson
• Oludayo Olusanya, M.D.
• Christian Jolene Ornelas
• Ortho Plus LLC
• Billy Joe Oshields, CASE MANAGER
• Osu Center for Health Sciences (Osu-Aj Radiology Services of Ardmore Inc)
• Osu Center for Health Sciences (Osu-Aj Forrestal Family Clinic Inc)

• Oral and Maxillofacial Surgery (Dentist) in Ardmore, OK
• Providers in Ardmore, OK by specialty
• Oral and Maxillofacial Surgery (Dentist) in Oklahoma

• 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.