Preston Banoub, DMD
NPI 1578138376 · Oral and Maxillofacial Surgery (Dentist) · Ardmore, OK
Enrolled with Medicare as Order and Referring Only - Oral Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Preston Banoub, DMD is a Oral and Maxillofacial Surgery (Dentist) provider in Ardmore, OK (NPI 1578138376).
Provider details
- NPI number
- 1578138376
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 25506 (OK)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
8 documented practice locations
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
Additional practice locations (7)
- 65 Jefferson AveElizabeth, NJ 07201-2474Phone: (908) 367-7712
- 66 Somme StNewark, NJ 07105-3612Phone: (973) 221-2567
- 1758 Nw 82nd StLawton, OK 73505-2356Phone: (580) 354-7223
- 1683 24th Ave NwNorman, OK 73069-6566Phone: (405) 253-2253
- 2123 W Memorial RdOklahoma City, OK 73134-8013Phone: (405) 415-1420
- 6400 Sw 3rd St Ste BOklahoma City, OK 73128-2209Phone: (405) 416-2357
- 2307 N Perkins RdStillwater, OK 74075-2234Phone: (405) 780-4544
Registry dates
- Enumerated
- 2021-05-24
- Last updated
- 2025-06-23
- Certified
- 2025-06-23
Frequently asked questions
- What is Preston Banoub's NPI number?
- Preston Banoub's National Provider Identifier (NPI) is 1578138376, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Preston Banoub's specialty?
- Preston Banoub is listed in the NPPES registry with a primary specialty of Oral and Maxillofacial Surgery (Dentist) (Dental Providers).
- Where is Preston Banoub located?
- Preston Banoub's practice location on file with NPPES is 2730 12th Ave Nw, Ardmore, OK 73401-1271.
- What is Preston Banoub's phone number?
- The practice phone number listed in the NPPES registry for Preston Banoub is (580) 226-0010.
- Does Preston Banoub accept Medicare?
- Preston Banoub is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Preston Banoub's NPI active?
- Yes — Preston Banoub's NPI (1578138376) is active in the NPPES registry as of the last update on 2025-06-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.