# ALTUS MANGUM DENTAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** AM Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720685324
- **Authorized official:** DR. NATHAN S SETHMAN DDS (OWNER/DOCTOR)
- **Authorized official phone:** (580) 782-5513

## Contact information

- **Practice address:** 1410 N LOUIS TITTLE AVE, MANGUM, OK 73554-2218
- **Practice address phone:** (580) 782-5513
- **Practice address fax:** (580) 782-5156
- **Mailing address:** 1410 N LOUIS TITTLE AVE, MANGUM, OK 73554-2218
- **Mailing address phone:** (580) 782-5513
- **Mailing address fax:** (580) 782-5156

## Taxonomy

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

## Other

- **Enumeration date:** 10/06/2020
- **Last updated:** 10/06/2020