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

Dental Depot 91st & Indian School, PLLC

Organization General Practice Dentistry · NPI 1073204012

Dental Depot 91st & Indian School, PLLC is a General Practice Dentistry in Phoenix, Arizona. Registered with an NPI since 2023.

In the registry since
2023
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

4115 N 91st Ave
Phoenix, AZ 85037
Phone: (623) 604-6723
Fax: (480) 741-8850
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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 number1073204012
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Glenn Ashmore — Owner / Ceo · (405) 945-8941
NPI enumeratedMay 19, 2023
Last updated in NPPESMay 30, 2025
Certification dateMay 30, 2025
Mailing address2828 Nw 30th St, Oklahoma City, OK 73112-7404

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