| Dental Depot Orthodontics Moore, Pllc | |
|
2709 S I 35 Frontage Rd Ste A Moore OK 73160-2715 | |
| (405) 957-5440 | |
| (405) 957-5542 |
| Full Name | Dental Depot Orthodontics Moore, Pllc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2709 S I 35 Frontage Rd Ste A, Moore, 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 Moore, Pllc 2828 Nw 30th St Oklahoma City OK 73112-7404 Ph: (405) 945-8941 | Dental Depot Orthodontics Moore, Pllc 2709 S I 35 Frontage Rd Ste A Moore OK 73160-2715 Ph: (405) 957-5440 |
| NPI Number | 1205649282 |
|---|---|
| Provider Enumeration Date | 01/31/2025 |
| Last Update Date | 01/31/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205649282 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
Mahant Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1112 Sw 30th Ct Ste 105, Moore, OK 73160 Phone: 405-979-0511 | |
J J Richardson Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 840 Se 4th St, Suite 3a, Moore, OK 73160 Phone: 405-799-7071 | |
Chad D Spiva Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 808 Ne 19th St, Moore, OK 73160 Phone: 405-799-5529 Fax: 405-799-8223 | |