OrganizationActive
Nova Oral Surgery LLC
NPI 1225747736 · Oral and Maxillofacial Surgery (Dentist) · Ada, OK
Provider details
- NPI number
- 1225747736
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Hans Igou, Owner(580) 332-3010
Specialties & taxonomies
Dental Providers
Practice location
803 N Monte Vista St
Ada, OK 74820-7711
Phone: (580) 332-3010
Fax: (580) 332-3010
Approximate (ZIP-level) locationGet directions
Mailing address
803 N Monte Vista St
Ada, OK 74820-7711
Other names (DBA / former)
- Doing business as
- Southeast Oklahoma Oral and Maxillofacial
Additional practice locations (2)
- 1609 N Strong Blvd Ste 100Mcalester, OK 74501-3881Phone: (918) 426-3244Fax: (918) 426-3254
- 700 S Mustang RdYukon, OK 73099-6777Phone: (405) 494-7227
Registry dates
- Enumerated
- 2022-11-23
- Last updated
- 2022-11-23
- Certified
- 2022-11-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.