| Dental Arts Of Locust Grove, Llc | |
|
409 E Main St Locust Grove OK 74352-5116 | |
| (918) 888-5055 | |
| Not Available |
| Full Name | Dental Arts Of Locust Grove, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 409 E Main St, Locust Grove, Oklahoma |
| Authorized Official Name and Position | Soren Michaelsen (OWNER) |
| Authorized Official Contact | 4055939596 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Arts Of Locust Grove, Llc Po Box 549 Locust Grove OK 74352-0549 Ph: (918) 888-5055 | Dental Arts Of Locust Grove, Llc 409 E Main St Locust Grove OK 74352-5116 Ph: (918) 888-5055 |
| NPI Number | 1083499123 |
|---|---|
| Provider Enumeration Date | 08/28/2023 |
| Last Update Date | 08/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083499123 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Absolute Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 409 E. Main Street, Locust Grove, OK 74352 Phone: 918-479-8020 | |
Main Street Dental, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 409 E Main St, Locust Grove, OK 74352 Phone: 918-845-5505 |