Stonewood Hills Oral Maxillofacial Surgery, Inc.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

5601 Issued in OK

Legal business name

STONEWOOD HILLS ORAL MAXILLOFACIAL SURGERY, INC.

Practice address

425 Stone Wood Dr
Broken Arrow, OK 74012-1026

Phone

(918) 229-0292

NPI assigned

Dec 23, 2015

Organization subpart

No

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

Authorized official

Name

Desiree W Pinson

Title

Practice Manager

Phone

(918) 229-0292

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1450828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450828800000",
    "number": "1487019071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 STONE WOOD DR",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740121026",
            "telephone_number": "918-229-0292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 STONE WOOD DR",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740121026",
            "telephone_number": "918-229-0292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONEWOOD HILLS ORAL MAXILLOFACIAL SURGERY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-23",
        "last_updated": "2015-12-23",
        "status": "A",
        "authorized_official_last_name": "PINSON",
        "authorized_official_first_name": "DESIREE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "918-229-0292"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OK",
            "license": "5601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Stinnett
• Kendra Stobaugh
• Sally Stoever, SLP
• Saundra Lynn Stone
• Shila Stone
• Halie P Storm, NCSP
• Jane Storm, COTA
• Erika Marie Stormont, MS
• Tayler Breanne Stover
• J. Mike Strand, D.D.S.

• Oral and Maxillofacial Surgery (Dentist) in Broken Arrow, OK
• Providers in Broken Arrow, 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 Dec 23, 2015; 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.