DENTAL DEPOT OF DEL CITY, PLLC
NPI 1205512779
Dentist in Del City, OK

Q: What is Dental Depot Of Del City, PLLC's NPI number?

The NPI number for Dental Depot Of Del City, PLLC is 1205512779. It was assigned to this organization in the NPPES registry on June 27, 2023.

Q: What is Dental Depot Of Del City, PLLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since June 27, 2023

5004 SE 29TH ST, DEL CITY, OK 73115(405) 477-8123(405) 669-2850 Get Directions Write a Review

NPPES record last updated: June 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dental Depot Of Del City, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DENTAL DEPOT OF DEL CITY, PLLC (NPI 1205512779) is a healthcare organization registered as a dentist in Del City, Oklahoma and active in the NPI registry since June 2023. The organization lists Gaylon Zissa, Director Of Provider Relations, as its authorized official.

NPPES Registry Identity

NPI1205512779

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameDENTAL DEPOT OF DEL CITY, PLLC

Location Address5004 SE 29TH STDel City, OK 73115-4710

Mailing Address5004 Se 29th StDel City, OK 73115-4710 · (405) 477-8123 · Fax (405) 669-2850

Phone(405) 477-8123

Fax(405) 669-2850

Organization SubpartNo

Authorized OfficialGaylon ZissaDirector Of Provider Relations · (405) 945-8941

Enumeration DateJune 27, 2023

NPPES CertifiedJune 27, 2023

✔ NPI 1205512779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

5004 SE 29TH ST, Del City, OK 73115

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BREANNA EVIEMARIE BOOR DDS

Dentist (General Practice)

5004 SE 29TH ST
DEL CITY, OK 73115

Oklahoma County (405) 299-0562

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dental Depot Of Del City, PLLC's NPI number?

The NPI number for Dental Depot Of Del City, PLLC is 1205512779. It was assigned to this organization in the NPPES registry on June 27, 2023.

Where is Dental Depot Of Del City, PLLC located?

Dental Depot Of Del City, PLLC is located at 5004 SE 29th St, Del City, OK 73115. The listed phone number is (405) 477-8123.

What is Dental Depot Of Del City, PLLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Dental Depot Of Del City, PLLC was last updated on June 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.