Organization
SOUHWEST ORAL SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE GRIGG (BUSINESS MANAGER)
(803) 556-0005
Entity
Organization
Contact information
Practice address
3617 W GORE BLVD STE B, LAWTON, OK 73505-6373
(580) 355-6000
(580) 355-7060
Mailing address
3617 W GORE BLVD STE B, LAWTON, OK 73505-6373
(580) 355-6000
(580) 355-7060
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
6721
OK
Other
Enumeration date
08/25/2015
Last updated
10/25/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up