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

Dental Depot of 10004 South Memorial Drive PLLC

Organization Dentist · NPI 1699028597

Dental Depot of 10004 South Memorial Drive PLLC is a Dentist in Oklahoma City, Oklahoma. Registered with an NPI since 2012.

In the registry since
2012
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

1918 N Drexel
Oklahoma City, OK 73107
Phone: (918) 209-5123
Fax: (918) 209-5124
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1699028597
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Glenn Ashmore — Owner/President · (405) 949-0123
NPI enumeratedOctober 17, 2012
Last updated in NPPESJune 25, 2021
Certification dateJune 25, 2021
Mailing address2828 Nw 30th St, Oklahoma City, OK 73112-7404

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