Individual
DR. NATHANIEL GRAY HEINSOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2619 S ELM PL, BROKEN ARROW, OK 74012-7878
(918) 872-0218
Mailing address
2619 S ELM PL, BROKEN ARROW, OK 74012-7878
(918) 872-0218
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
10100
TN
122300000X
Dentist
Primary
7383
OK
Other
Enumeration date
06/30/2015
Last updated
10/27/2025
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