# OKLAHOMA WISDOM TEETH CENTER

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

## Provider details

- **NPI number:** 1699951053
- **Authorized official:** LLOYD A HUDSON DDS MD (OWNER)
- **Authorized official phone:** (918) 491-9996

## Contact information

- **Practice address:** 7316 E 91ST ST, TULSA, OK 74133-6016
- **Practice address phone:** (918) 491-9996
- **Practice address fax:** (918) 491-6999
- **Mailing address:** 7316 E 91ST ST, TULSA, OK 74133-6016
- **Mailing address phone:** (918) 491-9996
- **Mailing address fax:** (918) 491-6999

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 5352 | OK | Yes |

## Other

- **Enumeration date:** 01/16/2008
- **Last updated:** 01/16/2008