Oklahoma Wisdom Teeth Center

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

5352 Issued in OK

Legal business name

OKLAHOMA WISDOM TEETH CENTER

Practice address

7316 E 91St St
Tulsa, OK 74133-6016

Phone

(918) 491-9996

Fax

(918) 491-6999

NPI assigned

Jan 16, 2008

Organization subpart

No

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

Authorized official

Name

Lloyd A Hudson, DDS MDNPI 1235221235

Title

Owner

Phone

(918) 491-9996

Specialties & licenses 1

Addresses

Locations

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.

• Lloyd A Hudson, DDS MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Tulsa, OK
  • NPI 1235221235
  NPD (past) Authorized official
• David Daniel Davila, D.O.

  • Surgery Physician
  • Houston, TX
  • NPI 1063422582
  NPD (past)

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200441600000",
    "number": "1699951053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7316 E 91ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741336016",
            "telephone_number": "918-491-9996",
            "fax_number": "918-491-6999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7316 E 91ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741336016",
            "telephone_number": "918-491-9996",
            "fax_number": "918-491-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKLAHOMA WISDOM TEETH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-16",
        "last_updated": "2008-01-16",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "LLOYD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-491-9996",
        "authorized_official_credential": "DDS MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OK",
            "license": "5352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oklahoma Surgical Hospital, LLC
• Oklahoma Surgical Hospital, LLC
• Oklahoma Treatment Services LLC
• Oklahoma Vein Center
• Oklahoma Vision Development Center (Harrel Eyecare Center)
• Oklahoma Wound Care JJ PC
• Oklahoma Wound Care, P.C.
• Oklahomans for Equality Inc (OKEQ Health Clinic)
• Okmulgee Radiology, Inc
• Ngozi Rosemary Okolonwamu, PA C

• Oral and Maxillofacial Surgery (Dentist) in Tulsa, OK
• Providers in Tulsa, 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 Jan 16, 2008; 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.