Provider Demographics
NPI:1649437914
Name:BARTLESVILLE DENTAL STUDIO P.C.
Entity type:Organization
Organization Name:BARTLESVILLE DENTAL STUDIO P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:NOBLE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:918-336-3344
Mailing Address - Street 1:2320 NOWATA PL
Mailing Address - Street 2:
Mailing Address - City:BARTLESVILLE
Mailing Address - State:OK
Mailing Address - Zip Code:74006-4744
Mailing Address - Country:US
Mailing Address - Phone:918-336-3344
Mailing Address - Fax:918-336-0260
Practice Address - Street 1:2320 NOWATA PL
Practice Address - Street 2:
Practice Address - City:BARTLESVILLE
Practice Address - State:OK
Practice Address - Zip Code:74006-4744
Practice Address - Country:US
Practice Address - Phone:918-336-3344
Practice Address - Fax:918-336-0260
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-22
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty