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

Dental Depot Southern Hills 71st & Jackson

Organization Dental Clinic/Center · NPI 1407412992

Dental Depot Southern Hills 71st & Jackson is a Dental Clinic/Center in Tulsa, Oklahoma. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

710 W 71st St
Tulsa, OK 74132-1825
Phone: (918) 236-7123
Fax: (918) 998-0818
Show map & directions

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

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1407412992
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Glenn Ashmore — Owner / President · (918) 236-7123
NPI enumeratedMay 10, 2019
Last updated in NPPESJune 25, 2021
Certification dateJune 25, 2021
Mailing address2828 Nw 30th St, Oklahoma City, OK 73112-7404

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