# NATHAN D POWELL DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Forefront Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912380643
- **Authorized official:** DR. NATHAN POWELL DDS (OWNER/DENTIST)
- **Authorized official phone:** (918) 664-6845

## Contact information

- **Practice address:** 5424 S MEMORIAL DR STE A, TULSA, OK 74145-9003
- **Practice address phone:** (918) 664-6845
- **Practice address fax:** (918) 664-6847
- **Mailing address:** 5424 S MEMORIAL DR STE A, TULSA, OK 74145-9003
- **Mailing address phone:** (918) 664-6845
- **Mailing address fax:** (918) 664-6847

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 6508 | OK | Yes |

## Other

- **Enumeration date:** 06/30/2015
- **Last updated:** 06/30/2015