Dental Depot South

Dental Clinic

 
1024 Sw 104th St, Oklahoma City
    Oklahoma, 73139-2990

 405-691-1123    405-691-2674 Maps & Directions
Dental Depot South is a Dental Clinic in Oklahoma City, Oklahoma. It is located at 1024 Sw 104th St, Oklahoma City, OK and its contact number is 405-691-1123. The authorized person for Dental Depot South is Gaylon Zissa who is Director Provider Relations of the clinic and their contact number is 405-691-1123. Other organizations associated with this clinic are Dental Depot South, Dental Depot Orthodontics South Pllc,
Dental Depot South Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Dental Depot South 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 South
Specialization: General Practice Dentistry
Clinic Address:1024 Sw 104th St, Oklahoma City,
Oklahoma, 73139-2990
Phone:405-691-1123
Fax:405-691-2674
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 Provider Relations
Contact Number: 405-691-1123
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 South clinic are as mentioned below.
NPI Number: 1578768180
NPI Enumeration Date: 15 Jun, 2007
NPI Last Update On: 25 Jun, 2021
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization. Speciality of these organizations are also mentioned below.
NameSpecializationNPI Number
Dental Depot SouthGeneral Practice Dentistry 1578768180
Dental Depot Orthodontics South PllcOrthodontics and Dentofacial Orthopedics 1629491832
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 South are as mentioned below.
SpecializationLicense NumberStateStatus
General Practice Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
200100150AMedicaidOklahoma
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 South
2828 Nw 30th St,
Oklahoma City, Oklahoma
Zip: 73112-7404
Phone Number: 405-691-1123
Fax Number: 405-691-2674
Patients can reach Dental Depot South at 1024 Sw 104th St, Oklahoma City, Oklahoma or can call to book an appointment on 405-691-1123. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.

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