Organization
ABSENTEE SHAWNEE TRIBAL HEALTH AUTHORITY, INC.
Active
Other names
Little Axe Health Center, Absentee Shawnee Tribal Health System (Little Axe Health Center)
Organization subpart
No
Provider details
NPI number
Authorized official
MARTY LOFGREN MD, CPE (MEDICAL DIRECTOR)
(405) 447-0300
Entity
Organization
Contact information
Practice address
15951 LITTLE AXE DRIVE, NORMAN, OK 73026-9001
(405) 447-0300
(405) 701-7914
Mailing address
15951 LITTLE AXE DR, NORMAN, OK 73026-9088
(405) 447-0300
(405) 701-7914
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100699860A
—
OK
05
—
100699860B
—
OK
05
—
100699860N
—
OK
Enumeration date
09/12/2008
Last updated
10/27/2025
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