# ORAL AND MAXILLOFACIAL SURGERY AT TULSA SURGICAL ARTS

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EASTERN SURGICAL ASSOCIATES AND CONSULTANTS
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1912217605
- **Legal business name:** EASTERN SURGICAL ASSOCIATES AND CONSULTANTS
- **Authorized official:** HUSAIN ALI KHAN M.D. (OWNER)
- **Authorized official phone:** (404) 805-2821

## Contact information

- **Practice address:** 7322 E 91ST ST, TULSA, OK 74133-6016
- **Practice address phone:** (918) 392-7900
- **Practice address fax:** (918) 392-0990
- **Mailing address:** 7322 E 91ST ST, TULSA, OK 74133-6016

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 152 | OK | Yes |

## Other

- **Enumeration date:** 10/14/2010
- **Last updated:** 10/14/2010