# IMMEDIATE SMILES

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

## Provider details

- **NPI number:** 1912640145
- **Authorized official:** PERRY BROOKS DDS (OWNER)
- **Authorized official phone:** (405) 691-0155

## Contact information

- **Practice address:** 11317 S WESTERN AVE STE 100B, OKLAHOMA CITY, OK 73170-5848
- **Practice address phone:** (405) 691-0155
- **Practice address fax:** (405) 369-7330
- **Mailing address:** 11317 S WESTERN AVE STE 100B, OKLAHOMA CITY, OK 73170-5848
- **Mailing address phone:** (405) 691-0155
- **Mailing address fax:** (405) 369-7330

## 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:** 04/15/2022
- **Last updated:** 04/15/2022