Dental 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.
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 February, 2025.