Individual Healthcare Provider
Preston Allen Mercurius Banoub, DMD
Provider's NPPES record last updated: June 23, 2025
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1578138376
- Primary Specialty
- Dentist — Oral and Maxillofacial Surgery
- Practice Location
- Ardmore, Oklahoma
- Sole Proprietor
- Yes
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 21, 2026, 10:09 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Dentist
Oral and Maxillofacial Surgery
Dental Providers
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Taxonomy code 1223S0112X
Provider-Reported License Information
- Dentist (Oklahoma)
- 25506
Practice Locations
Practice Location
2730 12th Ave Nw
Ardmore, Oklahoma 73401-1271
Phone: (580) 226-0010
Additional Practice Location
1758 Nw 82nd St
Lawton, Oklahoma 73505-2356
Phone: (580) 354-7223
Additional Practice Location
1683 24th Ave Nw
Norman, Oklahoma 73069-6566
Phone: (405) 253-2253
Additional Practice Location
2123 W Memorial Rd
Oklahoma City, Oklahoma 73134-8013
Phone: (405) 415-1420
Additional Practice Location
6400 Sw 3rd St Ste B
Oklahoma City, Oklahoma 73128-2209
Phone: (405) 416-2357
Additional Practice Location
2307 N Perkins Rd
Stillwater, Oklahoma 74075-2234
Phone: (405) 780-4544
Additional Practice Location
65 Jefferson Ave
Elizabeth, New Jersey 07201-2474
Phone: (908) 367-7712
Additional Practice Location
66 Somme St
Newark, New Jersey 07105-3612
Phone: (973) 221-2567
Record Information
- Enumeration Date
- May 24, 2021
- Provider's NPPES Record Last Updated
- June 23, 2025
- Certification Date
- June 23, 2025
- NPISignal NPPES Dataset
- August 2026
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