OrganizationActive
Medical Consultant Services
NPI 1033560966 · Oral and Maxillofacial Surgery (Dentist) · Broken Arrow, OK
Provider details
- NPI number
- 1033560966
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Parent organization
- 00000000
- Organization subpart
- Yes
- Authorized official
- Mansoor Bhatti, Director of Clinical Medicine(419) 819-9498
Specialties & taxonomies
Dental Providers
Practice location
3309 W Princeton St
Broken Arrow, OK 74012-9587
Phone: (419) 819-9498
Approximate (ZIP-level) locationGet directions
Mailing address
3309 W Princeton St
Broken Arrow, OK 74012-9587
Registry dates
- Enumerated
- 2016-06-22
- Last updated
- 2016-06-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.