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DENTAL DEPOT OF I-44 & GARNETT, PLLC
NPI 1417624578
Dentist - General Practice in Tulsa, OK

Active since August 26, 2021
1302 S GARNETT RD, TULSA, OK 74128(539) 476-5123(539) 222-2516 Get Directions Write a Review

NPPES record last updated: August 26, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dental Depot Of I-44 & Garnett, Pllc NPPES

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

DENTAL DEPOT OF I-44 & GARNETT, PLLC (NPI 1417624578) is a healthcare organization registered as a general practice in Tulsa, Oklahoma and active in the NPI registry since August 2021. The organization lists Gaylon Zissa, Director Of Provider Relations, as its authorized official.

NPPES Registry Identity

NPI1417624578
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDENTAL DEPOT OF I-44 & GARNETT, PLLC
Location Address1302 S GARNETT RDTulsa, OK 74128-1825
Mailing Address2828 Nw 30th StOklahoma City, OK 73112-7404 · (539) 476-5123 · Fax (539) 222-2516
Phone(539) 476-5123
Fax(539) 222-2516
Organization SubpartNo
Authorized OfficialGaylon ZissaDirector Of Provider Relations · (405) 945-8941
Enumeration DateAugust 26, 2021
NPPES CertifiedAugust 26, 2021
✔ NPI 1417624578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1302 S GARNETT RD, Tulsa, OK 74128
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

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. MANAS SAI KOMMAREDDI DDS
Dentist (General Practice)
1302 S GARNETT RD
TULSA, OK 74128
Tulsa County (539) 217-0491

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 I-44 & Garnett, PLLC's NPI number?

The NPI number for Dental Depot Of I-44 & Garnett, PLLC is 1417624578. It was assigned to this organization in the NPPES registry on August 26, 2021.

Where is Dental Depot Of I-44 & Garnett, PLLC located?

Dental Depot Of I-44 & Garnett, PLLC is located at 1302 S Garnett Rd, Tulsa, OK 74128. The listed phone number is (539) 476-5123.

What is Dental Depot Of I-44 & Garnett, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Dental Depot Of I-44 & Garnett, PLLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Dental Depot Of I-44 & Garnett, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dental Depot Of I-44 & Garnett, PLLC was last updated on August 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.