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

Dental Depot Orthodontics Moore, PLLC

Organization Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1205649282

Dental Depot Orthodontics Moore, PLLC is an Orthodontics and Dentofacial Orthopedics Dentistry in Moore, Oklahoma. Registered with an NPI since 2025.

In the registry since
2025
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

2709 S I 35 Frontage Rd Ste A
Moore, OK 73160-2715
Phone: (405) 957-5440
Fax: (405) 957-5542
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

Record details

NPI number1205649282
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gaylon Zissa — Director Of Provider Relations · (405) 945-8941
NPI enumeratedJanuary 31, 2025
Last updated in NPPESJanuary 31, 2025
Certification dateJanuary 31, 2025
Mailing address2828 Nw 30th St, Oklahoma City, OK 73112-7404

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