OrganizationActive
Elite Oral and Maxillofacial Surgery of Oklahoma, PLLC
NPI 1487420352 · Oral and Maxillofacial Surgery (Dentist) · Tulsa, OK
Provider details
- NPI number
- 1487420352
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Creed Cardon, Owner(918) 998-0996
Specialties & taxonomies
Dental Providers
Practice location
11916 S Oxford Ave Ste 103
Tulsa, OK 74137-7781
Phone: (918) 994-7645
Approximate (ZIP-level) locationGet directions
Mailing address
400 Riverwalk Ter Ste 250
Jenks, OK 74037-5619
Registry dates
- Enumerated
- 2023-11-30
- Last updated
- 2023-11-30
- Certified
- 2023-11-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.