MAIN STREET DENTAL, PLLC
NPI 1679072664
Clinic/Center - Dental in Locust Grove, OK

Active since February 06, 2018
409 E MAIN ST, LOCUST GROVE, OK 74352(918) 845-5505 Get Directions Write a Review

NPPES record last updated: March 2, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Main Street Dental, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAIN STREET DENTAL, PLLC (NPI 1679072664) is a healthcare organization registered as a dental in Locust Grove, Oklahoma and active in the NPI registry since February 2018. The organization lists David Henry, Owner, as its authorized official.

NPPES Registry Identity

NPI1679072664
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameMAIN STREET DENTAL, PLLC
Location Address409 E MAIN STLocust Grove, OK 74352-5116
Mailing Address1707 Forest Hill DrClaremore, OK 74017 · (918) 845-5505
Organization SubpartNo
Authorized OfficialDavid HenryOwner · (918) 479-8020
Enumeration DateFebruary 6, 2018
Last NPPES UpdateMarch 2, 2018
NPI 1679072664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License Licensed in OK · 6531
409 E MAIN ST, Locust Grove, OK 74352

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Dental)
409 E MAIN ST
LOCUST GROVE, OK 74352

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Main Street Dental, PLLC's NPI number?

The NPI number for Main Street Dental, PLLC is 1679072664. It was assigned to this organization in the NPPES registry on February 6, 2018.

Where is Main Street Dental, PLLC located?

Main Street Dental, PLLC is located at 409 E Main St, Locust Grove, OK 74352. The listed phone number is (918) 845-5505.

What is Main Street Dental, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Main Street Dental, PLLC was last updated on March 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.