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DR. MICHAEL JOHN GLIDDON DDS
NPI 1285604553
Dentist - Oral and Maxillofacial Surgery in Lawton, OK

Active since January 26, 2006Opted out of Medicare · through May 16, 2028
3617 W. GORE BLVD., SUITE B, LAWTON, OK 73505(580) 357-0888(580) 248-1860 Get Directions Write a Review

NPPES record last updated: March 5, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Michael John Gliddon Dds NPPES

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

DR. MICHAEL JOHN GLIDDON DDS (NPI 1285604553) is an individual oral and maxillofacial surgery provider in Lawton, Oklahoma, licensed in Oklahoma (160) and active in the NPI registry since January 2006. He has opted out of Medicare through May 16, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1285604553
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. MICHAEL JOHN GLIDDONCredential: DDS
Location Address3617 W. GORE BLVD., SUITE BLawton, OK 73505-6373
Mailing Address3617 W. Gore Blvd, Suite BLawton, OK 73505-6373 · (580) 357-0888 · Fax (580) 248-1860
Phone(580) 357-0888
Fax(580) 248-1860
Sole ProprietorYes
Enumeration DateJanuary 26, 2006
Last NPPES UpdateMarch 5, 2012
✔ NPI 1285604553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses✔ Licensed in OK · 160✔ Licensed in TX · 19422
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., Lawton, OK 73505
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Other Identifiers 1

Medicaid200345180AOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Michael John Gliddon Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 16, 2022 through May 16, 2028.

Opt-Out Effective DateMay 16, 2022
Opt-Out In Effect ThroughMay 16, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73505 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Gliddon's NPI number?

The NPI number for Michael Gliddon is 1285604553. It was assigned to this individual provider in the NPPES registry on January 26, 2006.

Where is Michael Gliddon located?

Michael Gliddon practices at 3617 W. Gore Blvd. Suite B, Lawton, OK 73505. The listed phone number is (580) 357-0888.

What is Michael Gliddon's specialty?

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

Is Michael Gliddon enrolled in Medicare?

No. Michael Gliddon has opted out of Medicare through May 16, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Michael Gliddon accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 16 other insurers list Michael Gliddon 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 Gliddon was last updated on March 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.