Central Oklahoma Oral & Maxillofacial Surgery Associates of Tulsa, PC

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

Legal business name

CENTRAL OKLAHOMA ORAL & MAXILLOFACIAL SURGERY ASSOCIATES OF TULSA, PC

Practice address

9118 S Toledo Ave
Tulsa, OK 74137-2700

Phone

(918) 495-1800

Fax

(918) 303-7520

NPI assigned

Mar 21, 2025

Organization subpart

No

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

Authorized official

Name

Richard R Miller, DDSNPI 1629146964

Title

Owner

Phone

(918) 495-1800

Specialties & licenses 1

Addresses

Other names 2

• Coomsa Oral Surgery Tulsa Doing business as
• Central Oklahoma Oral & Maxillofacial Surgery Associates of Tulsa, PC Former legal business name

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Reed Miller, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Stillwater, OK
  • NPI 1629146964
  NPD (past) Authorized official
• Michael Anthony Lloyd, DMD, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Broken Arrow, OK
  • NPI 1396188116
  NPD (past)
• Dan Eldon Patterson, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Tulsa, OK
  • NPI 1053306142
  NPD (past)
• Ross Edwin Sethman, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Stillwater, OK
  • NPI 1013096494
  NPD (past)
• Lahari Vattikunta, B.D.S, M.S, PHD

  • Periodontics
  • Broken Arrow, OK
  • NPI 1396402442
  NPD (past)

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

{
    "created_epoch": "1742515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762128000000",
    "number": "1902607476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9118 S TOLEDO AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741372700",
            "telephone_number": "918-495-1800",
            "fax_number": "918-303-7520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9118 S TOLEDO AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741372700",
            "telephone_number": "918-495-1800",
            "fax_number": "918-303-7520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "812 S Pine St",
            "address_purpose": "LOCATION",
            "city": "Stillwater",
            "state": "OK",
            "postal_code": "740744349",
            "country_code": "US",
            "telephone_number": "405-624-1300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTRAL OKLAHOMA ORAL & MAXILLOFACIAL SURGERY ASSOCIATES OF TULSA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-21",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-495-1800",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coomsa Oral Surgery Tulsa",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Central Oklahoma Oral & Maxillofacial Surgery Associates of Tulsa, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Oral and Maxillofacial Surgery Clinic/Center in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Oral and Maxillofacial Surgery Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; 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.