Dental Depot of Independence, PLLC
Dental Depot of Independence, PLLC is a Dental Clinic/Center in Independence, Missouri. Registered with an NPI since 2022.
- In the registry since
- 2022
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
16801 E US Highway 24Independence, MO 64056-1529
Phone: (816) 750-1345
Fax: (816) 399-4615
Show map & directions
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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 | 1568193449 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Gaylon Zissa — Director Of Provider Relations · (405) 409-3789 |
| Other names | Dental Depot Of Independence, Pllc |
| NPI enumerated | June 21, 2022 |
| Last updated in NPPES | June 21, 2022 |
| Certification date | June 21, 2022 |
| Mailing address | 2828 Nw 30th St, Oklahoma City, OK 73112-7404 |
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