# TAHOE ORAL AND MAXILLOFACIAL SURGERY

> 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. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1437381753
- **Authorized official:** KATHY DRESHER (VP OF BILLING)
- **Authorized official phone:** (405) 848-7974

## Contact information

- **Practice address:** 5600 N MAY AVE, SUITE 250, OKLAHOMA CITY, OK 73112-3973
- **Practice address phone:** (405) 848-7974
- **Practice address fax:** (405) 848-0033
- **Mailing address:** 12277 SOARING WAY, SUITE 103, TRUCKEE, CA 96161-3320
- **Mailing address phone:** (405) 848-7974
- **Mailing address fax:** (405) 848-0033

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 54665 | CA | Yes |

## Other

- **Enumeration date:** 08/20/2009
- **Last updated:** 08/20/2009