Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Main Street Dental, PLLC

Organization Dental Clinic/Center · NPI 1679072664

Main Street Dental, PLLC is a Dental Clinic/Center in Locust Grove, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2018.

Licensed in
OK
In the registry since
2018
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

409 E Main St
Locust Grove, OK 74352-5116
Phone: (918) 845-5505
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence 6531 (OK)

Record details

NPI number1679072664
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Henry — Owner · (918) 479-8020
NPI enumeratedFebruary 6, 2018
Last updated in NPPESMarch 2, 2018
Mailing address1707 Forest Hill Dr, Claremore, OK 74017

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