Individual
MICHAEL ANTHONY LLOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MD
Contact information
Practice address
1230 E HILLSIDE DR, BROKEN ARROW, OK 74012
(918) 505-4200
Mailing address
1230 E HILLSIDE DR, BROKEN ARROW, OK 74012-2301
(918) 505-4200
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019029472
IL
122300000X
Dentist
7232
OK
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
212
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2013
Last updated
07/12/2019
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