Michael J. Gliddon DBA Live Oak Oral Surgery
NPI 1265735724ActiveOrganization· Dentist, Oral and Maxillofacial Surgery· Lawton, OK
Dentist, Oral and Maxillofacial Surgery in Lawton, Oklahoma, registered in NPPES in December 2010. The authorized official on file is Vera Ann Wellner, Credentialing Rep.
Overview
| NPI | 1265735724 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 6, 2010 |
| Last updated in NPPES | Nov 13, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Oral and Maxillofacial Surgery Primary | 1223S0112X | 160 | OK |
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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