Dental Depot of Mesa PLLC
Dental Depot of Mesa PLLC is a Dental Clinic/Center in Mesa, Arizona. Registered with an NPI since 2021.
- In the registry since
- 2021
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2311 W Broadway RdMesa, AZ 85202-1005
Phone: (480) 571-3050
Fax: (480) 605-5013
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 | 1629659131 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Glenn Ashmore — Owner / Ceo · (405) 945-8941 |
| NPI enumerated | April 16, 2021 |
| Last updated in NPPES | June 13, 2025 |
| Certification date | June 13, 2025 |
| Mailing address | 2828 Nw 30th St, Oklahoma City, OK 73112-7404 |
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Dental Center of Mesa PLLC
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Dr Lorin Eric Jackrel, DMD, PC
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