CENTRAL OKLAHOMA ORAL & MAXILLOFACIAL SURGERY ASSOCIATES
NPI 1467627364
Dentist - Oral and Maxillofacial Surgery in Stillwater, OK

Active since April 23, 2008
812 S PINE ST, STILLWATER, OK 74074(405) 624-1300(405) 624-3084 Get Directions Write a Review

NPPES record last updated: April 23, 2008. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Central Oklahoma Oral & Maxillofacial Surgery Associates NPPES

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

CENTRAL OKLAHOMA ORAL & MAXILLOFACIAL SURGERY ASSOCIATES (NPI 1467627364) is a healthcare organization registered as an oral and maxillofacial surgery in Stillwater, Oklahoma and active in the NPI registry since April 2008. The organization lists Shawnda Kay Phares, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1467627364
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameCENTRAL OKLAHOMA ORAL & MAXILLOFACIAL SURGERY ASSOCIATES
Location Address812 S PINE STStillwater, OK 74074-4349
Mailing Address812 S Pine StStillwater, OK 74074-4349 · (405) 624-1300 · Fax (405) 624-3084
Fax(405) 624-3084
Organization SubpartNo
Authorized OfficialShawnda Kay PharesOffice Manager · (405) 624-1300
Enumeration DateApril 23, 2008
NPI 1467627364 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.
812 S PINE ST, Stillwater, OK 74074

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

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 Central Oklahoma Oral & Maxillofacial Surgery Associates's NPI number?

The NPI number for Central Oklahoma Oral & Maxillofacial Surgery Associates is 1467627364. It was assigned to this organization in the NPPES registry on April 23, 2008.

Where is Central Oklahoma Oral & Maxillofacial Surgery Associates located?

Central Oklahoma Oral & Maxillofacial Surgery Associates is located at 812 S Pine St, Stillwater, OK 74074. The listed phone number is (405) 624-1300.

What is Central Oklahoma Oral & Maxillofacial Surgery Associates's specialty?

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

When was this NPI record last updated?

The NPPES record for Central Oklahoma Oral & Maxillofacial Surgery Associates was last updated on April 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.