| Stoltenberg Dental Pllc | |
|
707 24th Ave Sw Ste 201 Norman OK 73069-3957 | |
| (405) 364-6064 | |
| Not Available |
| Full Name | Stoltenberg Dental Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 707 24th Ave Sw Ste 201, Norman, Oklahoma |
| Authorized Official Name and Position | Braden Hofman Stoltenberg (DENTIST/CEO) |
| Authorized Official Contact | 4054061529 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stoltenberg Dental Pllc 4503 Green Field Cir Norman OK 73072-3131 Ph: (405) 406-1529 | Stoltenberg Dental Pllc 707 24th Ave Sw Ste 201 Norman OK 73069-3957 Ph: (405) 364-6064 |
| NPI Number | 1063954642 |
|---|---|
| Provider Enumeration Date | 11/14/2016 |
| Last Update Date | 11/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063954642 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 6118 (Oklahoma) | Primary |
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