Organization · Type 2 NPI

Dental Arts of Locust Grove, LLC

Dental Clinic/Center · Locust Grove, OK

NPI number 1083499123 Active

Practice location

409 E Main St
Locust Grove, OK 74352-5116

Mailing address

PO Box 549
Locust Grove, OK 74352-0549

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

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About NPI 1083499123

Dental Arts of Locust Grove, LLC's National Provider Identifier is 1083499123, issued on Aug 28, 2023. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Locust Grove, OK. The record was last updated on Aug 28, 2023.