Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
NOVA ORAL SURGERY LLC
Active
Organization
NOVA ORAL SURGERY LLC
Active
Other names
Southeast Oklahoma Oral and Maxillofacial
Organization subpart
No
Provider details
NPI number
Authorized official
HANS CHARLES IGOU DDS (OWNER)
(580) 332-3010
Entity
Organization
Contact information
Practice address
803 N MONTE VISTA ST, ADA, OK 74820-7711
(580) 332-3010
(580) 332-3010
Mailing address
803 N MONTE VISTA ST, ADA, OK 74820-7711
(580) 332-3010
(580) 332-1302
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
11/23/2022
Last updated
11/23/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers