# WOODWARD ORAL SURGERY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023798709
- **Authorized official:** DR. JOSHUA WOODWARD DDS (MANAGER)
- **Authorized official phone:** (918) 260-0012

## Contact information

- **Practice address:** 4617 E 91ST ST, TULSA, OK 74137-2852
- **Practice address phone:** (918) 492-6994
- **Mailing address:** 4617 E 91ST ST, TULSA, OK 74137-2852
- **Mailing address phone:** (918) 492-6994

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 07/19/2023
- **Last updated:** 07/19/2023