Eastern Oklahoma Oral and Maxillofacial Surgeons

Public-record details

Address

4716 W Urbana St, Broken Arrow, OK 74012

Phone

(918) 449-5800

Listed under

Oral & maxillofacial surgeons, Specialty practices

NPI

1487074704

NPI status

Active in the NPPES registry

Provider type

Organization (practice, clinic or company)

Registered specialty (self-reported taxonomy)

Oral and Maxillofacial Surgery (1223S0112X)

Authorized official

Angie Roe, Credentialing and Contracting

NPI first issued

Apr 25, 2014

NPI record last updated

Mar 17, 2018

NPI 1487074704 is active in the federal NPPES registry (CMS) with Oral and Maxillofacial Surgery, an ADA-recognized dental specialty, as its primary taxonomy. Source: NPPES NPI Registry (CMS) (record). Data as of 2026-09-30.

What these registry facts mean

The NPI (National Provider Identifier) is the federal ID every HIPAA-covered provider uses to bill insurance. This NPI belongs to an organization, so it may cover several clinicians at this location. The specialty is the taxonomy the provider chose when registering; NPPES does not check it. A license number here is what the provider entered — confirm it with the state board before you rely on it. Oral and maxillofacial surgeons are trained in surgery of the mouth and jaws, including placing implants, extractions, bone grafts and sinus lifts, and in anesthesia. Dentists who are not specialists can also place implants; the specialty here is the one the provider registered as primary.

View NPI 1487074704 in the official registry ↗