Altus Mangum Dental PLLC
Organization Active NPI General Practice Dentistry · Altus, OK
NPI 1043816671 · NPPES record last updated Dec 9, 2020
Key facts
- NPI
- 1043816671
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Legal business name
- ALTUS MANGUM DENTAL PLLC
- Practice address
- 907 Falcon Rd
Altus, OK 73521-2833 - Phone
- (580) 482-3974
- Fax
- (580) 482-0800
- NPI assigned
- Dec 9, 2020
- Organization subpart
- Yes
- Parent organization (as reported)
- ALTUS MANGUM DENTAL PLLC
Authorized official
- Name
- Nathan Sethman, DDS
- Title
- General Dentist
- Phone
- (580) 482-3974
Parent organization (reported in NPPES) 1
Corporate family (same tax ID) 1
Practitioners 1
-
Nathan Sethman, DDS
National Provider Directory
- Tax ID family
- Altus Mangum Dental PLLC
- Part of
- Altus Mangum Dental PLLC
Locations
907 Falcon Rd
Altus, OK 73521
Phone (580) 482-3974
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | Yes |
Addresses
Primary practice location
907 Falcon Rd
Altus, OK 73521-2833
Mailing address
1410 1/2 N Louis Tittle Ave
Mangum, OK 73554-2218
Phone (580) 782-5513
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1223G0001X | Other | OK | GENERAL DENTIST |
Other names
- AM Dental
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | desktop | Health Information Exchange (HIE) | Altus Mangum Dental PLLC |
Other providers in Altus, OK
- Cynthia D Allen
- Jennifer Allen
- Altus Chiropractic Clinic, Inc.
- Altus Family Counseling, LLC
- Altus Family Vision, PLLC
- Altus Medical Equipment
- Altus Minor Emergency & Family Practice
- Altus Neurology P C
- Altus Operations L L C
- Altus Premier Health Clinic P.L.L.C.
All providers in Altus, OK · General Practice Dentistry in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 9, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.