| Dental Depot Of Tulsa | |
|
2145 S Sheridan Rd Tulsa OK 74129-1001 | |
| (405) 832-1123 | |
| (405) 601-5453 |
| Full Name | Dental Depot Of Tulsa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2145 S Sheridan Rd, Tulsa, Oklahoma |
| Authorized Official Name and Position | Glenn Allen Ashmore (PRESIDENT) |
| Authorized Official Contact | 4058321123 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Depot Of Tulsa 2828 Nw 30th St Oklahoma City OK 73112-7404 Ph: (405) 832-1123 | Dental Depot Of Tulsa 2145 S Sheridan Rd Tulsa OK 74129-1001 Ph: (405) 832-1123 |
| NPI Number | 1467755371 |
|---|---|
| Provider Enumeration Date | 12/15/2010 |
| Last Update Date | 06/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467755371 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3723 (Oklahoma) | Primary |
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