OrganizationActive
Main Street Dental, PLLC
NPI 1679072664 · Dental Clinic/Center · Locust Grove, OK
Main Street Dental, PLLC is a Dental Clinic/Center organization in Locust Grove, OK (NPI 1679072664).
Provider details
- NPI number
- 1679072664
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- David Henry, Owner(918) 479-8020
- License
- 6531 (OK)
Practice location
409 E Main St
Locust Grove, OK 74352-5116
Phone: (918) 845-5505
Street-level locationGet directions
Mailing address
1707 Forest Hill Dr
Claremore, OK 74017
Registry dates
- Enumerated
- 2018-02-06
- Last updated
- 2018-03-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.