# STOLTENBERG DENTAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063954642
- **Authorized official:** DR. BRADEN HOFMAN STOLTENBERG DDS (DENTIST/CEO)
- **Authorized official phone:** (405) 406-1529

## Contact information

- **Practice address:** 707 24TH AVE SW STE 201, NORMAN, OK 73069-3957
- **Practice address phone:** (405) 364-6064
- **Mailing address:** 4503 GREEN FIELD CIR, NORMAN, OK 73072-3131
- **Mailing address phone:** (405) 406-1529

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 6118 | OK | Yes |

## Other

- **Enumeration date:** 11/14/2016
- **Last updated:** 11/14/2016