OrganizationActive
Foothills Oral & Maxillofacial Surgery
NPI 1942521687 · Oral and Maxillofacial Surgery (Dentist) · Tahlequah, OK
Provider details
- NPI number
- 1942521687
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Michael Winkler, Ceo(918) 457-9779
- License
- 147 (OK)
Specialties & taxonomies
Dental Providers
Practice location
1500 E Downing St
Tahlequah, OK 74464-3234
Phone: (918) 456-0671
Fax: (918) 457-5761
Approximate (ZIP-level) locationGet directions
Mailing address
29062 S 558 Rd
Park Hill, OK 74451-2876
Registry dates
- Enumerated
- 2010-06-17
- Last updated
- 2010-06-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.