MICHAEL J. GLIDDON DBA LIVE OAK ORAL SURGERY
NPI 1265735724
Dentist - Oral and Maxillofacial Surgery in Lawton, OK

Q: What is Michael J. Gliddon Dba Live Oak Oral Surgery's specialty?

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

Active since December 06, 2010

1415 NW 33RD ST, LAWTON, OK 73505(580) 699-3131(580) 699-3151 Get Directions Write a Review

NPPES record last updated: November 13, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Michael J. Gliddon Dba Live Oak Oral Surgery NPPES

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

MICHAEL J. GLIDDON DBA LIVE OAK ORAL SURGERY (NPI 1265735724) is a healthcare organization registered as an oral and maxillofacial surgery in Lawton, Oklahoma and active in the NPI registry since December 2010. The organization lists Vera Ann Wellner, Credentialing Rep, as its authorized official.

NPPES Registry Identity

NPI1265735724

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameMICHAEL J. GLIDDON DBA LIVE OAK ORAL SURGERY

Location Address1415 NW 33RD STLawton, OK 73505-3806

Mailing Address3000 United Founders Blvd, Suite 237Oklahoma City, OK 73112-3958 · (405) 848-7974 · Fax (405) 848-0033

Phone(580) 699-3131

Fax(580) 699-3151

Organization SubpartNo

Authorized OfficialVera Ann WellnerCredentialing Rep · (405) 848-7974

Enumeration DateDecember 6, 2010

Last NPPES UpdateNovember 13, 2013

✔ NPI 1265735724 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 · 160

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.

1415 NW 33RD ST, Lawton, OK 73505

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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 Michael J. Gliddon Dba Live Oak Oral Surgery's NPI number?

The NPI number for Michael J. Gliddon Dba Live Oak Oral Surgery is 1265735724. It was assigned to this organization in the NPPES registry on December 6, 2010.

Where is Michael J. Gliddon Dba Live Oak Oral Surgery located?

Michael J. Gliddon Dba Live Oak Oral Surgery is located at 1415 NW 33rd St, Lawton, OK 73505. The listed phone number is (580) 699-3131.

What is Michael J. Gliddon Dba Live Oak Oral Surgery's specialty?

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

What insurance does Michael J. Gliddon Dba Live Oak Oral Surgery accept?

Health plans from UnitedHealthcare list Michael J. Gliddon Dba Live Oak Oral Surgery 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 Michael J. Gliddon Dba Live Oak Oral Surgery was last updated on November 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.