# CENTRAL OKLAHOMA ORAL & MAXILLOFACIAL SURGERY ASSOCIATES

> 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:** 1467627364
- **Authorized official:** MRS. SHAWNDA KAY PHARES (OFFICE MANAGER)
- **Authorized official phone:** (405) 624-1300

## Contact information

- **Practice address:** 812 S PINE ST, STILLWATER, OK 74074-4349
- **Practice address phone:** (405) 624-1300
- **Practice address fax:** (405) 624-3084
- **Mailing address:** 812 S PINE ST, STILLWATER, OK 74074-4349
- **Mailing address phone:** (405) 624-1300
- **Mailing address fax:** (405) 624-3084

## 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:** 04/23/2008
- **Last updated:** 04/23/2008