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

Dental Depot Orthodontics Central Okc PLLC

Organization Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1790108900

Dental Depot Orthodontics Central Okc PLLC is an Orthodontics and Dentofacial Orthopedics Dentistry in Oklahoma City, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2014.

Licensed in
OK
In the registry since
2014
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

4025 NW 63rd St
Oklahoma City, OK 73116-1911
Phone: (405) 945-8940
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence 6025 (OK)

Record details

NPI number1790108900
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationGlenn a Ashmore DDS Inc
Authorized official Gaylon Zissa — Director · (405) 945-8941
NPI enumeratedJanuary 23, 2014
Last updated in NPPESJanuary 11, 2024
Certification dateJanuary 11, 2024
Mailing address2828 Nw 30th St, Oklahoma City, OK 73112-7404

Other providers in Oklahoma City