Dental Depot | |
3104 Nw 23 Okc OK 73107 | |
(405) 949-0123 | |
(405) 949-9762 |
Full Name | Dental Depot |
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Speciality | Dentist - General Practice |
Location | 3104 Nw 23, Okc, Oklahoma |
Authorized Official Name and Position | Glenn A Ashmore (PRES) |
Authorized Official Contact | 4059490123 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dental Depot 2828 Nw 30th St Oklahoma City OK 73112-7404 Ph: (405) 949-0123 | Dental Depot 3104 Nw 23 Okc OK 73107 Ph: (405) 949-0123 |
NPI Number | 1508967043 |
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Provider Enumeration Date | 09/26/2006 |
Last Update Date | 06/25/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508967043 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 3723 (Oklahoma) | Primary |