DENTAL DEPOT ORTHODONTICS 83RD AND UNION HILLS, PLLC
NPI 1396586400
Clinic/Center - Dental in Peoria, AZ

Q: What is Dental Depot Orthodontics 83rd And Union Hills, PLLC's specialty?

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

Active since June 03, 2024

18855 N 83RD AVE STE B, PEORIA, AZ 85382(623) 352-0195 Get Directions Write a Review

NPPES record last updated: June 3, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dental Depot Orthodontics 83rd And Union Hills, Pllc NPPES

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

DENTAL DEPOT ORTHODONTICS 83RD AND UNION HILLS, PLLC (NPI 1396586400) is a healthcare organization registered as a dental in Peoria, Arizona and active in the NPI registry since June 2024. The organization lists Gaylon Zissa, Director Of Provider Relations, as its authorized official.

NPPES Registry Identity

NPI1396586400

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameDENTAL DEPOT ORTHODONTICS 83RD AND UNION HILLS, PLLC

Location Address18855 N 83RD AVE STE BPeoria, AZ 85382-2806

Mailing Address2828 Nw 30th StOklahoma City, OK 73112-7404 · (623) 267-4129

Phone(623) 352-0195

Organization SubpartNo

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

Enumeration DateJune 3, 2024

NPPES CertifiedJune 3, 2024

✔ NPI 1396586400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

Also ListedClinic/CenterTaxonomy 261Q00000X

18855 N 83RD AVE STE B, Peoria, AZ 85382

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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 Orthodontics 83rd And Union Hills, PLLC's NPI number?

The NPI number for Dental Depot Orthodontics 83rd And Union Hills, PLLC is 1396586400. It was assigned to this organization in the NPPES registry on June 3, 2024.

Where is Dental Depot Orthodontics 83rd And Union Hills, PLLC located?

Dental Depot Orthodontics 83rd And Union Hills, PLLC is located at 18855 N 83rd Ave Ste B, Peoria, AZ 85382. The listed phone number is (623) 352-0195.

What is Dental Depot Orthodontics 83rd And Union Hills, 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 Orthodontics 83rd And Union Hills, PLLC was last updated on June 3, 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.