IndividualActive
Cody Mumma, DDS
NPI 1003313594 · Oral and Maxillofacial Surgery (Dentist) · Broken Arrow, OK
Provider details
- NPI number
- 1003313594
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 229 (OK)
Specialties & taxonomies
Dental Providers
Practice location
4716 W Urbana St
Broken Arrow, OK 74012-6162
Phone: (918) 449-5800
Fax: (918) 455-8958
Approximate (ZIP-level) locationGet directions
Mailing address
2201 Hempstead Tpke
East Meadow, NY 11554-1859
Additional practice locations (1)
- 12802 E 101st Pl NOwasso, OK 74055-4662Phone: (918) 274-0944Fax: (918) 274-1366
Registry dates
- Enumerated
- 2018-04-10
- Last updated
- 2022-07-15
- Certified
- 2022-07-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.