# OMS OF SOUTHERN OKLAHOMA PLLC

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

## Provider details

- **NPI number:** 1447660063
- **Authorized official:** MRS. KATHY S DRESHER (VP BILLING)
- **Authorized official phone:** (405) 848-7974

## Contact information

- **Practice address:** 1119 WALNUT DR, 2, ARDMORE, OK 73401-2364
- **Practice address phone:** (580) 226-1727
- **Practice address fax:** (580) 226-9413
- **Mailing address:** PO BOX 108816, OKLAHOMA CITY, OK 73101-8816
- **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) | 3389 | OK | Yes |

## Other

- **Enumeration date:** 05/05/2014
- **Last updated:** 05/05/2014