# CRANIOFACIAL PAIN TMJ & SLEEP OF OK

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CRANIOFACIAL PAIN, TMJ & SLEEP OF OK
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1023253226
- **Legal business name:** CRANIOFACIAL PAIN, TMJ & SLEEP OF OK
- **Authorized official:** ROBERT LOUIS TALLEY D.D.S. (CEO/PRESIDENT)
- **Authorized official phone:** (405) 321-8030

## Contact information

- **Practice address:** 448 36TH AVE NW, SUITE 103, NORMAN, OK 73072-4746
- **Practice address phone:** (405) 321-8030
- **Practice address fax:** (405) 321-2108
- **Mailing address:** 448 36TH AVE NW, SUITE 103, NORMAN, OK 73072-4746
- **Mailing address phone:** (405) 321-8030
- **Mailing address fax:** (405) 321-2108

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 3515 | OK | Yes |

## Other

- **Enumeration date:** 12/03/2008
- **Last updated:** 01/21/2015