SearchOklahomaOral and Maxillofacial Surgery (Dentist)

Preston Banoub, DMD

NPI 1578138376 · on the registry since 2021 · sole proprietor

Practice

Address
2730 12th Ave Nw
Ardmore, OK 73401
Phone
(580) 226-0010
Clinicians at this address
3

Additional practice sites

  • 1758 Nw 82nd St, Lawton, OK
  • 1683 24th Ave Nw, Norman, OK
  • 2123 W Memorial Rd, Oklahoma City, OK
  • 6400 Sw 3rd St Ste B, Oklahoma City, OK
  • 2307 N Perkins Rd, Stillwater, OK
  • 65 Jefferson Ave, Elizabeth, NJ
  • 66 Somme St, Newark, NJ

Registry record

Primary taxonomy
Oral and Maxillofacial Surgery (Dentist)
1223S0112X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-06-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma