DENTAL DEPOT ORTHODONTICS BROKEN ARROW, PLLC
NPI 1508679598
Dentist - Orthodontics and Dentofacial Orthopedics in Broken Arrow, OK
About Dental Depot Orthodontics Broken Arrow, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DENTAL DEPOT ORTHODONTICS BROKEN ARROW, PLLC (NPI 1508679598) is a healthcare organization registered as an orthodontics and dentofacial orthopedics in Broken Arrow, Oklahoma and active in the NPI registry since January 2025. The organization lists Gaylon Zissa, Director Of Provider Relations, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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 Broken Arrow, PLLC's NPI number?
The NPI number for Dental Depot Orthodontics Broken Arrow, PLLC is 1508679598. It was assigned to this organization in the NPPES registry on January 31, 2025.
Where is Dental Depot Orthodontics Broken Arrow, PLLC located?
Dental Depot Orthodontics Broken Arrow, PLLC is located at 1950 W Kenosha St Ste B, Broken Arrow, OK 74012. The listed phone number is (539) 476-9588.
What is Dental Depot Orthodontics Broken Arrow, PLLC's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.
When was this NPI record last updated?
The NPPES record for Dental Depot Orthodontics Broken Arrow, PLLC was last updated on January 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.