OrganizationActive
Immediate Smiles
NPI 1912640145 · Oral and Maxillofacial Surgery (Dentist) · Oklahoma City, OK
Provider details
- NPI number
- 1912640145
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Perry Brooks, Owner(405) 691-0155
Specialties & taxonomies
Dental Providers
Practice location
11317 S Western Ave Ste 100b
Oklahoma City, OK 73170-5848
Phone: (405) 691-0155
Fax: (405) 369-7330
Approximate (ZIP-level) locationGet directions
Mailing address
11317 S Western Ave Ste 100b
Oklahoma City, OK 73170-5848
Registry dates
- Enumerated
- 2022-04-15
- Last updated
- 2022-04-15
- Certified
- 2022-04-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.