Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PRESTON ALLEN MERCURIUS BANOUB, DMD
Active Sole ProprietorDR. PRESTON ALLEN MERCURIUS BANOUB, DMD is a Oral & Maxillofacial Surgery healthcare provider located in ARDMORE, Oklahoma. NPI 1578138376 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · ARDMORE, OK
Registration Details
- NPI Number
- 1578138376
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 24, 2021 (5.1930587379615 yrs)
- Last Updated
- Jun 23, 2025
- License
-
25506 (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2730 12TH AVE NWARDMORE, OK, 734011271Browse OK providers · Browse ZIP 73401
- Phone
- 5802260010
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
Other Oral & Maxillofacial Surgery Providers in ARDMORE, OK
| Name | Credential | NPI |
|---|---|---|
| DR. RON L GRAVES | D.D.S. | 1184615890 |
| DR. PATRICK L WALLACE | D.D.S. | 1508857053 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.