LIVE OAK ORAL SURGERY OF OKLAHOMA PLLC
NPI 1053986935
Dentist - Oral and Maxillofacial Surgery in Lawton, OK

Q: What is Live Oak Oral Surgery Of Oklahoma PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Active since May 24, 2021

5405 SW DAUN, LAWTON, OK 73505(580) 699-3131(580) 699-3151 Get Directions Write a Review

NPPES record last updated: May 24, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Live Oak Oral Surgery Of Oklahoma Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIVE OAK ORAL SURGERY OF OKLAHOMA PLLC (NPI 1053986935) is a healthcare organization registered as an oral and maxillofacial surgery in Lawton, Oklahoma and active in the NPI registry since May 2021. The organization maintains a secondary practice location in Duncan and lists Michael J Gliddon, Owner, as its authorized official.

NPPES Registry Identity

NPI1053986935

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameLIVE OAK ORAL SURGERY OF OKLAHOMA PLLC

Location Address5405 SW DAUNLawton, OK 73505-8508

Mailing AddressPo Box 258841Oklahoma City, OK 73125-8841 · (580) 699-3131

Phone(580) 699-3131

Fax(580) 699-3151

Organization SubpartNo

Authorized OfficialMichael J GliddonOwner · (580) 699-3131

Enumeration DateMay 24, 2021

NPPES CertifiedMay 24, 2021

✔ NPI 1053986935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

5405 SW DAUN, Lawton, OK 73505

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Secondary Practice Location 1

Location 11610 W Jones AveDuncan, OK 73533-1732 · Phone (580) 699-3131 · Fax (580) 699-3151

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Live Oak Oral Surgery Of Oklahoma PLLC's NPI number?

The NPI number for Live Oak Oral Surgery Of Oklahoma PLLC is 1053986935. It was assigned to this organization in the NPPES registry on May 24, 2021.

Where is Live Oak Oral Surgery Of Oklahoma PLLC located?

Live Oak Oral Surgery Of Oklahoma PLLC is located at 5405 SW Daun, Lawton, OK 73505. The listed phone number is (580) 699-3131.

What is Live Oak Oral Surgery Of Oklahoma PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

What insurance does Live Oak Oral Surgery Of Oklahoma PLLC accept?

Health plans from UnitedHealthcare list Live Oak Oral Surgery Of Oklahoma PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Live Oak Oral Surgery Of Oklahoma PLLC was last updated on May 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.