Main Street Dental, Pllc | |
409 E Main St Locust Grove OK 74352-5116 | |
(918) 845-5505 | |
Not Available |
Full Name | Main Street Dental, Pllc |
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Speciality | Clinic/center - Dental |
Location | 409 E Main St, Locust Grove, Oklahoma |
Authorized Official Name and Position | David Henry (OWNER) |
Authorized Official Contact | 9184798020 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Main Street Dental, Pllc 1707 Forest Hill Dr Claremore OK 74017 Ph: (918) 845-5505 | Main Street Dental, Pllc 409 E Main St Locust Grove OK 74352-5116 Ph: (918) 845-5505 |
NPI Number | 1679072664 |
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Provider Enumeration Date | 02/06/2018 |
Last Update Date | 03/02/2018 |
Identifier | Type | State | Issuer |
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1679072664 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | 6531 (Oklahoma) | Primary |
Dental Arts Of Locust Grove, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 409 E Main St, Locust Grove, OK 74352 Phone: 918-888-5055 | |
Absolute Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 409 E. Main Street, Locust Grove, OK 74352 Phone: 918-479-8020 |