| Dental Depot Orthodontics Del City, Pllc | |
|
5004 Se 29th St Ste B Del City OK 73115-4710 | |
| (405) 900-8939 | |
| Not Available |
| Full Name | Dental Depot Orthodontics Del City, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5004 Se 29th St Ste B, Del City, 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 Orthodontics Del City, Pllc 2828 Nw 30th St Oklahoma City OK 73112-7404 Ph: (405) 900-8939 | Dental Depot Orthodontics Del City, Pllc 5004 Se 29th St Ste B Del City OK 73115-4710 Ph: (405) 900-8939 |
| NPI Number | 1659157691 |
|---|---|
| Provider Enumeration Date | 09/06/2023 |
| Last Update Date | 09/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659157691 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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