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LIVE OAK ORAL SURGERY OF TEXAS PLLC
NPI 1649834680
Dentist - Oral and Maxillofacial Surgery in Wichita Falls, TX

Active since April 25, 2019
2708 SOUTHWEST PKWY STE 130, WICHITA FALLS, TX 76308(580) 699-3131(580) 699-3151 Get Directions Write a Review

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

About Live Oak Oral Surgery Of Texas Pllc NPPES

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

LIVE OAK ORAL SURGERY OF TEXAS PLLC (NPI 1649834680) is a healthcare organization registered as an oral and maxillofacial surgery in Wichita Falls, Texas and active in the NPI registry since April 2019. The organization lists Michael J Gliddon, Owner/oral Surgeon, as its authorized official.

NPPES Registry Identity

NPI1649834680
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameLIVE OAK ORAL SURGERY OF TEXAS PLLC
Location Address2708 SOUTHWEST PKWY STE 130Wichita Falls, TX 76308-3735
Mailing Address2708 Southwest Pkwy Ste 130Wichita Falls, TX 76308-3735 · (580) 699-3131 · Fax (580) 699-3151
Phone(580) 699-3131
Fax(580) 699-3151
Organization SubpartNo
Authorized OfficialMichael J GliddonOwner/oral Surgeon · (580) 699-3131
Enumeration DateApril 25, 2019
✔ NPI 1649834680 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.
2708 SOUTHWEST PKWY STE 130, Wichita Falls, TX 76308
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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 Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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 Live Oak Oral Surgery Of Texas PLLC's NPI number?

The NPI number for Live Oak Oral Surgery Of Texas PLLC is 1649834680. It was assigned to this organization in the NPPES registry on April 25, 2019.

Where is Live Oak Oral Surgery Of Texas PLLC located?

Live Oak Oral Surgery Of Texas PLLC is located at 2708 Southwest Pkwy Ste 130, Wichita Falls, TX 76308. The listed phone number is (580) 699-3131.

What is Live Oak Oral Surgery Of Texas 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 Live Oak Oral Surgery Of Texas PLLC 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 1 other insurer list Live Oak Oral Surgery Of Texas 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 Live Oak Oral Surgery Of Texas PLLC was last updated on April 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.