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Southeast Oklahoma Oral & Maxillofacial Surgery, PC

Oral and Maxillofacial Surgery (Dentist) in Ada, OK · enumerated 2005 · authorized official R. Boone, Oral Surgeon and Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1306839246

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Registry record

Entity type Organization (Type 2)
Legal business name Southeast Oklahoma Oral & Maxillofacial Surgery, PC
Practice address 803 N Monte Vista St, Ada, OK, 74820
Fax (580) 332-3010
Enumeration date Aug 25, 2005
Last updated in NPPES May 6, 2014

Taxonomy & classification

1223S0112X Oral and Maxillofacial Surgery (Dentist) Dental Providers Primary

Authorized official

Name R. Boone
Title Oral Surgeon and Owner

Other identifiers

Identifier Type State Issuer
444583300004 Other OK BCBS
444583300003 Other OK BCBS
787600 Other OK UNITED CONCORDIA
100112550A Medicaid OK -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Southeast Oklahoma Oral & Maxillofacial Surgery, PC?
The NPI for Southeast Oklahoma Oral & Maxillofacial Surgery, PC is 1306839246, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Southeast Oklahoma Oral & Maxillofacial Surgery, PC?
NPPES lists R. Boone (Oral Surgeon and Owner) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-05-06.