Organization
ORAL AND MAXILLOFACIAL ALLOCATIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROY E COLE DDS MD (OWNER)
(316) 634-1414
Entity
Organization
Contact information
Practice address
1919 N WEBB RD, WICHITA, KS 67206-3405
(316) 634-1414
(316) 634-2907
Mailing address
1919 NORTH WEBB ROAD, WICHITA, KS 67206-3405
(316) 634-1414
(316) 634-2907
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1851585681
BCBS
KS
05
—
1851585681
—
KS
Enumeration date
05/17/2007
Last updated
08/08/2014
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