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SOUHWEST ORAL SURGERY PC
NPI 1134596166
Dentist - Oral and Maxillofacial Surgery in Lawton, OK

Active since August 25, 2015
3617 W GORE BLVD STE B, LAWTON, OK 73505(580) 355-6000(580) 355-7060 Get Directions Write a Review

NPPES record last updated: October 25, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 25, 2019, May 31, 2019 (2 updates tracked since 2019).

About Souhwest Oral Surgery Pc NPPES

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

SOUHWEST ORAL SURGERY PC (NPI 1134596166) is a healthcare organization registered as an oral and maxillofacial surgery in Lawton, Oklahoma and active in the NPI registry since August 2015. The organization lists Stephanie Grigg, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1134596166
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameSOUHWEST ORAL SURGERY PC
Location Address3617 W GORE BLVD STE BLawton, OK 73505-6373
Mailing Address3617 W Gore Blvd Ste BLawton, OK 73505-6373 · (580) 355-6000 · Fax (580) 355-7060
Phone(580) 355-6000
Fax(580) 355-7060
Organization SubpartNo
Authorized OfficialStephanie GriggBusiness Manager · (803) 556-0005
Enumeration DateAugust 25, 2015
Last NPPES UpdateOctober 25, 20192 updates tracked since enumeration
✔ NPI 1134596166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in OK · 6721
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.
3617 W GORE BLVD STE B, Lawton, OK 73505
Open in Google Maps ↗

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 Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LAUREN LUNDAY DDS
Dentist (Oral and Maxillofacial Surgery)
3617 W GORE BLVD STE B
LAWTON, OK 73505
Comanche County (580) 357-0888

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 Souhwest Oral Surgery PC's NPI number?

The NPI number for Souhwest Oral Surgery PC is 1134596166. It was assigned to this organization in the NPPES registry on August 25, 2015.

Where is Souhwest Oral Surgery PC located?

Souhwest Oral Surgery PC is located at 3617 W Gore Blvd Ste B, Lawton, OK 73505. The listed phone number is (580) 355-6000.

What is Souhwest Oral Surgery PC's specialty?

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

What insurance does Souhwest Oral Surgery PC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Souhwest Oral Surgery PC 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 Souhwest Oral Surgery PC was last updated on October 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.