Oral and Maxillofacial Surgery at Tulsa Surgical Arts

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

152 Issued in OK

Legal business name

ORAL AND MAXILLOFACIAL SURGERY AT TULSA SURGICAL ARTS

Practice address

7322 E 91St St
Tulsa, OK 74133-6016

Phone

(918) 392-7900

Fax

(918) 392-0990

NPI assigned

Oct 14, 2010

Organization subpart

Yes

Parent organization

EASTERN SURGICAL ASSOCIATES AND CONSULTANTSAs reported in NPPES

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

Authorized official

Name

Husain Ali Khan, M.D.

Title

Owner

Phone

(404) 805-2821

Specialties & licenses 1

Addresses

Part of

Oral and Maxillofacial Surgery at Tulsa Surgical Arts

Locations

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

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287014400000",
    "number": "1912217605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7322 E 91ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741336016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7322 E 91ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741336016",
            "telephone_number": "918-392-7900",
            "fax_number": "918-392-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL AND MAXILLOFACIAL SURGERY AT TULSA SURGICAL ARTS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EASTERN SURGICAL ASSOCIATES AND CONSULTANTS",
        "enumeration_date": "2010-10-14",
        "last_updated": "2010-10-14",
        "status": "A",
        "authorized_official_last_name": "ALI KHAN",
        "authorized_official_first_name": "HUSAIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-805-2821",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OK",
            "license": "152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Oct 14, 2010; 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.