# MAYFLOWER ORAL AND MAXILLOFACIAL SURGERY PLLC

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

## Provider details

- **NPI number:** 1538391214
- **Authorized official:** DR. NICHOLAS C VEGA DDS (ORAL SURGEON)
- **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:** 675 PARAMOUNT DR, SUITE 105, RAYNHAM, MA 02767-5416
- **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) | DN1855112 | MA | Yes |

## Other

- **Enumeration date:** 08/14/2009
- **Last updated:** 08/14/2009