institution
Main Street Dental, Pllc
Dental Clinic/Center in Locust Grove, Oklahoma
NPI 1679072664

Main Street Dental, Pllc is a Dental Clinic/Center based in Claremore, OK and is specialized in Dental. Main Street Dental, Pllc practices in Locust Grove, OK. The NPI Number for Main Street Dental, Pllc is 1679072664 and holds a License No. 6531 (Oklahoma).

The current practice location address for Main Street Dental, Pllc is 409 E Main St, Locust Grove, OK and can be reached out via phone at 918-845-5505.

Location: 409 E Main St, Locust Grove, OK, 74017
institution
Provider Profile Details
NPI Number
1679072664
Provider Name
Main Street Dental, Pllc
Credential
Provider Entity Type
Organization
Address
409 E Main St, Locust Grove, OK, 74017
Phone Number
918-845-5505
Fax Number
Provider Enumeration Date
02/06/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
409 E Main St
City
State
Zip
74352-5116
Phone Number
918-845-5505
Fax Number
person
Provider Business Mailing Address Details
Address
409 E Main St
City
State
Zip
74352-5116
Phone Number
918-845-5505
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
6531 (Oklahoma)
Definition
Definition to come...
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