# YUKON MAXILLO-FACIAL SURGERY CENTER

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

## Provider details

- **NPI number:** 1558771170
- **Authorized official:** MRS. KATHY S DRESHER (VP BILLING)
- **Authorized official phone:** (405) 848-7974

## Contact information

- **Practice address:** 404 S MUSTANG RD, YUKON, OK 73099-6754
- **Practice address phone:** (405) 577-7744
- **Practice address fax:** (405) 577-7747
- **Mailing address:** PO BOX 248801, OKLAHOMA CITY, OK 73124-8801
- **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) | 5578 | OK | Yes |

## Other

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