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General NPI Number Information
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NPI Number | 1992623169
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Entity Type | Organization
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Legal Business Name | SAXON PERIODONTICS PLLC
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Dates
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Enumeration Date | 07/07/2026
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Last Update Date | 07/07/2026
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Provider Practice Location Address
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Address Line | 6143 E 91ST ST
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City | TULSA
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State | OK
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Zip | 74137-3104
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Country | US
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Telephone | 918-221-6143
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Fax |
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Provider Business Mailing Address
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Address Line | 6143 E 91ST ST
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City | TULSA
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State | OK
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Zip | 74137-3104
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Country | US
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Telephone | 918-221-6143
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MATTHEW SAXON
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Credential | DDS
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Telephone | 816-651-9683
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number |
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License Number State |
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