Live Oak Oral Surgery of Oklahoma PLLC
NPI 1053986935ActiveOrganization· Dentist, Oral and Maxillofacial Surgery· Lawton, OK
Dentist, Oral and Maxillofacial Surgery in Lawton, Oklahoma, registered in NPPES in May 2021. The authorized official on file is Michael J. Gliddon, DDS, Owner.
Overview
| NPI | 1053986935 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 24, 2021 |
| Last updated in NPPES | May 24, 2021 |
| Certified by provider | May 24, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Oral and Maxillofacial Surgery Primary | 1223S0112X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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