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

Dental Depot of Orthodontics Mesa, PLLC

Organization Clinic/Center · NPI 1912748260

Dental Depot of Orthodontics Mesa, PLLC is a Clinic/Center in Mesa, Arizona. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
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

2311 W Broadway Rd Ste B
Mesa, AZ 85202-1005
Phone: (623) 352-0196
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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
Clinic/Center Taxonomy 261Q00000X

Record details

NPI number1912748260
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gaylon Zissa — Director Of Provider Relations · (405) 945-8941
NPI enumeratedJune 3, 2024
Last updated in NPPESJune 3, 2024
Certification dateJune 3, 2024
Mailing address2828 Nw 30th St, Oklahoma City, OK 73112-7404

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