OrganizationActive
Oklahoma Aesthetic Reconstructive Surgery LLC
NPI 1932879699 · Plastic and Reconstructive Surgery Physician · Oklahoma City, OK
Provider details
- NPI number
- 1932879699
- Entity type
- Organization
- Primary specialty
- Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Stacey Dill, Office Administrator(405) 735-9700
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
13820 Wireless Way
Oklahoma City, OK 73134-2501
Phone: (405) 246-0391
Fax: (405) 246-0392
Street-level locationGet directions
Mailing address
2708 W Country Club Dr
Oklahoma City, OK 73116-4219
Registry dates
- Enumerated
- 2021-09-15
- Last updated
- 2021-10-29
- Certified
- 2021-10-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.