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ELITE ORAL AND MAXILLOFACIAL SURGERY OF OKLAHOMA, PLLC
NPI 1487420352
Dentist - Oral and Maxillofacial Surgery in Tulsa, OK

Active since November 30, 2023
11916 S OXFORD AVE STE 103, TULSA, OK 74137(918) 994-7645 Get Directions Write a Review

NPPES record last updated: November 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elite Oral And Maxillofacial Surgery Of Oklahoma, Pllc NPPES

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

ELITE ORAL AND MAXILLOFACIAL SURGERY OF OKLAHOMA, PLLC (NPI 1487420352) is a healthcare organization registered as an oral and maxillofacial surgery in Tulsa, Oklahoma and active in the NPI registry since November 2023. The organization lists Creed Cardon, Owner, as its authorized official.

NPPES Registry Identity

NPI1487420352
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameELITE ORAL AND MAXILLOFACIAL SURGERY OF OKLAHOMA, PLLC
Location Address11916 S OXFORD AVE STE 103Tulsa, OK 74137-7781
Mailing Address400 Riverwalk Ter Ste 250Jenks, OK 74037-5619
Phone(918) 994-7645
Organization SubpartNo
Authorized OfficialCreed CardonOwner · (918) 998-0996
Enumeration DateNovember 30, 2023
NPPES CertifiedNovember 30, 2023
✔ NPI 1487420352 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.
11916 S OXFORD AVE STE 103, Tulsa, OK 74137
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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 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. ANTHONY PAUL LEPRE DMD
Dentist
11916 S OXFORD AVE STE 103
TULSA, OK 74137
Tulsa County (918) 395-8305

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 Elite Oral And Maxillofacial Surgery Of Oklahoma, PLLC's NPI number?

The NPI number for Elite Oral And Maxillofacial Surgery Of Oklahoma, PLLC is 1487420352. It was assigned to this organization in the NPPES registry on November 30, 2023.

Where is Elite Oral And Maxillofacial Surgery Of Oklahoma, PLLC located?

Elite Oral And Maxillofacial Surgery Of Oklahoma, PLLC is located at 11916 S Oxford Ave Ste 103, Tulsa, OK 74137. The listed phone number is (918) 994-7645.

What is Elite Oral And Maxillofacial 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 Elite Oral And Maxillofacial Surgery Of Oklahoma, PLLC 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 2 other insurers list Elite Oral And Maxillofacial 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 Elite Oral And Maxillofacial Surgery Of Oklahoma, PLLC was last updated on November 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.