Dental Depot of 63rd & NW Expressway, PLLC
Dental Depot of 63rd & NW Expressway, PLLC is a Dental Clinic/Center in Oklahoma City, Oklahoma. Registered with an NPI since 2019.
- In the registry since
- 2019
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4025 NW 63rd StOklahoma City, OK 73116
Phone: (405) 591-3123
Fax: (405) 653-1714
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X |
|---|
Record details
| NPI number | 1861058877 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Glenn Ashmore — Owner / President · (405) 591-3123 |
| NPI enumerated | May 15, 2019 |
| Last updated in NPPES | June 25, 2021 |
| Certification date | June 25, 2021 |
| Mailing address | 2828 Nw 30th St, Oklahoma City, OK 73112-7404 |
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