Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dental Depot 62nd & South Western PLLC

Organization General Practice Dentistry · NPI 1003196239

Dental Depot 62nd & South Western PLLC is a General Practice Dentistry in Oklahoma City, Oklahoma. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6217 S Western Ave
Oklahoma City, OK 73139-1605
Phone: (405) 606-7123
Fax: (405) 606-7130
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1003196239
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Glenn Ashmore — President · (405) 949-0123
NPI enumeratedAugust 19, 2011
Last updated in NPPESJune 25, 2021
Certification dateJune 25, 2021
Mailing address2828 Nw 30th St, Oklahoma City, OK 73112-7404

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