OrganizationActive
Elite Oral and Maxillofacial Surgery of Oklahoma City, PLLC
NPI 1174333744 · Public Health Dentistry · Yukon, OK
Provider details
- NPI number
- 1174333744
- Entity type
- Organization
- Primary specialty
- Public Health DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Creed Cardon, Owner/Dentist(918) 998-0996
Specialties & taxonomies
Dental Providers
Practice location
340 W Vandament Ave
Yukon, OK 73099-4640
Phone: (918) 998-0996
Approximate (ZIP-level) locationGet directions
Mailing address
400 Riverwalk Ter Ste 250
Jenks, OK 74037-5619
Registry dates
- Enumerated
- 2025-01-07
- Last updated
- 2025-01-07
- Certified
- 2025-01-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.