# DENTAL ARTS OF NOWATA, LLC

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

## Provider details

- **NPI number:** 1528881539
- **Authorized official:** SOREN MICHAELSEN DDS (DENTIST/OWNER)
- **Authorized official phone:** (405) 593-9596

## Contact information

- **Practice address:** 117 W DELAWARE AVE, NOWATA, OK 74048-2616
- **Practice address phone:** (918) 273-1619
- **Mailing address:** 117 W DELAWARE AVE, NOWATA, OK 74048-2616

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/07/2024
- **Last updated:** 11/07/2024