Organization
NATHAN D POWELL DDS PLLC
Active
Other names
Forefront Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHAN POWELL DDS (OWNER/DENTIST)
(918) 664-6845
Entity
Organization
Contact information
Practice address
5424 S MEMORIAL DR STE A, TULSA, OK 74145-9003
(918) 664-6845
(918) 664-6847
Mailing address
5424 S MEMORIAL DR STE A, TULSA, OK 74145-9003
(918) 664-6845
(918) 664-6847
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6508
OK
Other
Enumeration date
06/30/2015
Last updated
06/30/2015
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