OrganizationActive
Live Oak Oral Surgery of Oklahoma PLLC
NPI 1053986935 · Oral and Maxillofacial Surgery (Dentist) · Lawton, OK
Provider details
- NPI number
- 1053986935
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Michael Gliddon, Owner(580) 699-3131
Specialties & taxonomies
Dental Providers
Practice location
5405 Sw Daun
Lawton, OK 73505-8508
Phone: (580) 699-3131
Fax: (580) 699-3151
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 258841
Oklahoma City, OK 73125-8841
Additional practice locations (1)
- 1610 W Jones AveDuncan, OK 73533-1732Phone: (580) 699-3131Fax: (580) 699-3151
Registry dates
- Enumerated
- 2021-05-24
- Last updated
- 2021-05-24
- Certified
- 2021-05-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.