Healthcare Provider Details

I. General information

NPI: 1649437914
Provider Name (Legal Business Name): BARTLESVILLE DENTAL STUDIO P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2008
Last Update Date: 06/18/2025
Certification Date: 06/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2320 NOWATA PL
BARTLESVILLE OK
74006-4744
US

IV. Provider business mailing address

2320 NOWATA PL
BARTLESVILLE OK
74006-4744
US

V. Phone/Fax

Practice location:
  • Phone: 918-336-3344
  • Fax: 918-336-0260
Mailing address:
  • Phone: 918-336-3344
  • Fax: 918-336-0260

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: DR. ANDREW NOBLE
Title or Position: OWNER/DENTIST
Credential: DDS
Phone: 918-336-3344