Individual
NATHAN N. PROUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6002 S WESTERN AVE, OKLAHOMA CITY, OK 73139-1602
(405) 631-9100
(405) 631-4672
Mailing address
555 W. BENJAMIN HOLT DR., BLDG. B, STOCKTON, CA 95207
(209) 476-4700
(209) 478-6890
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6152
OK
Other
Enumeration date
08/31/2009
Last updated
09/29/2025
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