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

Dental Depot Orthodontics South PLLC

Organization Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1629491832

Dental Depot Orthodontics South 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.

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Practice location Address checks out

1024 SW 104th St
Oklahoma City, OK 73139-2990
Phone: (405) 703-3527
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence 73 (OK)

Record details

NPI number1629491832
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationDental Depot Westminster Village LLC
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

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