Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GUSTAVO LAWRENCE GOVIN III, DDS MS
Active Sole ProprietorGUSTAVO LAWRENCE GOVIN III, DDS MS is a Oral & Maxillofacial Surgery healthcare provider located in SHAWNEE, Oklahoma. NPI 1710093570 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · SHAWNEE, OK
Registration Details
- NPI Number
- 1710093570
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 22, 2006 (19.942032382302 yrs)
- Last Updated
- Jul 8, 2007
- License
-
3739 (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
18 DUNLOUPSHAWNEE, OK, 74804Browse OK providers · Browse ZIP 74804
- Phone
- 4052751252
- Fax
- 4052754292
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
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.