DENTAL DEPOT OF 88TH & THUNDERBIRD, PLLC
NPI 1376380170
Clinic/Center - Dental in Peoria, AZ

Active since July 10, 2024
8850 W THUNDERBIRD RD, PEORIA, AZ 85381(623) 352-3123 Get Directions Write a Review

NPPES record last updated: July 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dental Depot Of 88th & Thunderbird, Pllc NPPES

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

DENTAL DEPOT OF 88TH & THUNDERBIRD, PLLC (NPI 1376380170) is a healthcare organization registered as a dental in Peoria, Arizona and active in the NPI registry since July 2024. The organization lists Gaylon Zissa, Director Of Provider Relations, as its authorized official.

NPPES Registry Identity

NPI1376380170
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameDENTAL DEPOT OF 88TH & THUNDERBIRD, PLLC
Location Address8850 W THUNDERBIRD RDPeoria, AZ 85381-4812
Mailing Address2828 Nw 30th StOklahoma City, OK 73112-7404 · (623) 352-3123
Organization SubpartNo
Authorized OfficialGaylon ZissaDirector Of Provider Relations · (405) 945-8941
Enumeration DateJuly 10, 2024
NPPES CertifiedJuly 10, 2024
NPI 1376380170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
8850 W THUNDERBIRD RD, Peoria, AZ 85381

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 88th & Thunderbird, PLLC's NPI number?

The NPI number for Dental Depot Of 88th & Thunderbird, PLLC is 1376380170. It was assigned to this organization in the NPPES registry on July 10, 2024.

Where is Dental Depot Of 88th & Thunderbird, PLLC located?

Dental Depot Of 88th & Thunderbird, PLLC is located at 8850 W Thunderbird Rd, Peoria, AZ 85381. The listed phone number is (623) 352-3123.

What is Dental Depot Of 88th & Thunderbird, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Dental Depot Of 88th & Thunderbird, PLLC was last updated on July 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.