| Dental Depot Of I-44 & Garnett, Pllc | |
|
1302 S Garnett Rd Tulsa OK 74128-1825 | |
| (539) 476-5123 | |
| (539) 222-2516 |
| Full Name | Dental Depot Of I-44 & Garnett, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1302 S Garnett Rd, Tulsa, Oklahoma |
| Authorized Official Name and Position | Gaylon Zissa (DIRECTOR OF PROVIDER RELATIONS) |
| Authorized Official Contact | 4059458941 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Depot Of I-44 & Garnett, Pllc 2828 Nw 30th St Oklahoma City OK 73112-7404 Ph: (539) 476-5123 | Dental Depot Of I-44 & Garnett, Pllc 1302 S Garnett Rd Tulsa OK 74128-1825 Ph: (539) 476-5123 |
| NPI Number | 1417624578 |
|---|---|
| Provider Enumeration Date | 08/26/2021 |
| Last Update Date | 08/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417624578 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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