OrganizationActive
Souhwest Oral Surgery PC
NPI 1134596166 · Oral and Maxillofacial Surgery (Dentist) · Lawton, OK
Provider details
- NPI number
- 1134596166
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Stephanie Grigg, Business Manager(803) 556-0005
- License
- 6721 (OK)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3617 W Gore Blvd Ste B
Lawton, OK 73505-6373
Phone: (580) 355-6000
Fax: (580) 355-7060
Street-level locationGet directions
Mailing address
3617 W Gore Blvd Ste B
Lawton, OK 73505-6373
Registry dates
- Enumerated
- 2015-08-25
- Last updated
- 2019-10-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.