IndividualActive
Michael Gliddon, DDS
NPI 1285604553 · Oral and Maxillofacial Surgery (Dentist) · Lawton, OK
Provider details
- NPI number
- 1285604553
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 19422 (TX)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
3617 W. Gore Blvd.
Suite B
Lawton, OK 73505-6373
Phone: (580) 357-0888
Fax: (580) 248-1860
Approximate (ZIP-level) locationGet directions
Mailing address
3617 W. Gore Blvd
Lawton, OK 73505-6373
Registry dates
- Enumerated
- 2006-01-26
- Last updated
- 2012-03-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.