Southeast Oklahoma Oral & Maxillofacial Surgery, PC
NPI 1306839246 · Oral and Maxillofacial Surgery (Dentist) · Ada, OK
Southeast Oklahoma Oral & Maxillofacial Surgery, PC is a Oral and Maxillofacial Surgery (Dentist) organization in Ada, OK (NPI 1306839246).
Provider details
- NPI number
- 1306839246
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- R. Boone, Oral Surgeon and Owner(580) 332-3010
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
Mailing address
Registry dates
- Enumerated
- 2005-08-25
- Last updated
- 2014-05-06
Frequently asked questions
- What is Southeast Oklahoma Oral & Maxillofacial Surgery, PC's NPI number?
- Southeast Oklahoma Oral & Maxillofacial Surgery, PC's National Provider Identifier (NPI) is 1306839246, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southeast Oklahoma Oral & Maxillofacial Surgery, PC?
- Southeast Oklahoma Oral & Maxillofacial Surgery, PC is classified in the NPPES registry as Oral and Maxillofacial Surgery (Dentist) (Dental Providers).
- Where is Southeast Oklahoma Oral & Maxillofacial Surgery, PC located?
- Southeast Oklahoma Oral & Maxillofacial Surgery, PC's practice location on file with NPPES is 803 N Monte Vista St, Ada, OK 74820-7711.
- What is Southeast Oklahoma Oral & Maxillofacial Surgery, PC's phone number?
- The practice phone number listed in the NPPES registry for Southeast Oklahoma Oral & Maxillofacial Surgery, PC is (580) 332-3010.
- Who is the authorized official for Southeast Oklahoma Oral & Maxillofacial Surgery, PC?
- The authorized official listed on Southeast Oklahoma Oral & Maxillofacial Surgery, PC's NPPES record is R. Boone, Oral Surgeon and Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southeast Oklahoma Oral & Maxillofacial Surgery, PC's NPI active?
- Yes — Southeast Oklahoma Oral & Maxillofacial Surgery, PC's NPI (1306839246) is active in the NPPES registry as of the last update on 2014-05-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.