OrganizationActive
Dental Arts of Locust Grove, LLC
NPI 1083499123 · Dental Clinic/Center · Locust Grove, OK
Provider details
- NPI number
- 1083499123
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Soren Michaelsen, Owner(405) 593-9596
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
409 E Main St
Locust Grove, OK 74352-5116
Phone: (918) 888-5055
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 549
Locust Grove, OK 74352-0549
Registry dates
- Enumerated
- 2023-08-28
- Last updated
- 2023-08-28
- Certified
- 2023-08-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.