Dental Depot Orthodontics Broken Arrow, Pllc
Orthodontics and Dentofacial Clinic
1950 W Kenosha St Ste B, Broken Arrow
Oklahoma, 74012-8944
539-476-9588 Maps & DirectionsDental Depot Orthodontics Broken Arrow, Pllc is a Orthodontics and Dentofacial Clinic in Broken Arrow, Oklahoma. It is located at 1950 W Kenosha St Ste B, Broken Arrow, OK and its contact number is 539-476-9588. The authorized person for Dental Depot Orthodontics Broken Arrow, Pllc is Gaylon Zissa
who is Director Of Provider Relations of the clinic and their contact number is 405-945-8941.
Dental Depot Orthodontics Broken Arrow, Pllc Clinic is concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex.
Complete Clinic Profile:
Dental Depot Orthodontics Broken Arrow, Pllc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Dental Depot Orthodontics Broken Arrow, Pllc |
| Specialization: | Orthodontics and Dentofacial Orthopedics |
| Clinic Address: | 1950 W Kenosha St Ste B, Broken Arrow,
Oklahoma, 74012-8944 |
| Phone: | 539-476-9588 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Gaylon Zissa |
| Position: | Director Of Provider Relations |
| Contact Number: | 405-945-8941 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Dental Depot Orthodontics Broken Arrow, Pllc clinic are as mentioned below.
| NPI Number: | 1508679598 |
| NPI Enumeration Date: | 31 Jan, 2025 |
| NPI Last Update On: | 31 Jan, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dental Depot Orthodontics Broken Arrow, Pllc are as mentioned below.
| Specialization | License Number | State | Status | |
| Orthodontics and Dentofacial Orthopedics | | | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Dental Depot Orthodontics Broken Arrow, Pllc
2828 Nw 30th St,
Oklahoma City, Oklahoma |
| Zip: | 73112-7404 |
| Phone Number: | 405-945-8941 |
Patients can reach Dental Depot Orthodontics Broken Arrow, Pllc at
1950 W Kenosha St Ste B, Broken Arrow, Oklahoma or can
call to book an appointment on 539-476-9588.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.