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

Dental Depot of Surprise, PLLC

Organization Dental Clinic/Center · NPI 1912538497

Dental Depot of Surprise, PLLC is a Dental Clinic/Center in Surprise, Arizona. Registered with an NPI since 2020.

In the registry since
2020
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

13828 W Greenway Rd
Surprise, AZ 85374
Phone: (623) 562-9123
Fax: (623) 259-0153
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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 number1912538497
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Glenn Ashmore — Owner / Ceo · (405) 945-8941
NPI enumeratedFebruary 3, 2020
Last updated in NPPESJune 13, 2025
Certification dateJune 13, 2025
Mailing address2828 Nw 30th St, Oklahoma City, OK 73112-7404

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