Organization · Type 2 NPI
Main Street Dental, PLLC
Dental Clinic/Center · Locust Grove, OK
NPI number
1679072664
Active
Practice location
409 E Main St
Locust Grove, OK 74352-5116
Mailing address
1707 Forest Hill Dr
Claremore, OK 74017
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 6531 (OK) |
Dental Clinic/Center: Definition to come...
Another provider at this address
Other dental clinic/center providers in Locust Grove
About NPI 1679072664
Main Street Dental, PLLC's National Provider Identifier is 1679072664, issued on Feb 6, 2018. 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 Mar 2, 2018.