DENTAL DEPOT OF INDEPENDENCE, PLLC
NPI 1568193449
Clinic/Center - Dental in Independence, MO

Active since June 21, 2022
16801 E US HIGHWAY 24, INDEPENDENCE, MO 64056(816) 750-1345(816) 399-4615 Get Directions Write a Review

NPPES record last updated: June 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dental Depot Of Independence, Pllc NPPES

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

DENTAL DEPOT OF INDEPENDENCE, PLLC (NPI 1568193449) is a healthcare organization registered as a dental in Independence, Missouri and active in the NPI registry since June 2022. The organization lists Gaylon Zissa, Director Of Provider Relations, as its authorized official.

NPPES Registry Identity

NPI1568193449
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameDENTAL DEPOT OF INDEPENDENCE, PLLC
Location Address16801 E US HIGHWAY 24Independence, MO 64056-1529
Mailing Address2828 Nw 30th StOklahoma City, OK 73112-7404 · (405) 945-8941 · Fax (405) 945-8959
Fax(816) 399-4615
Organization SubpartNo
Authorized OfficialGaylon ZissaDirector Of Provider Relations · (405) 409-3789
Enumeration DateJune 21, 2022
NPPES CertifiedJune 21, 2022
NPI 1568193449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
16801 E US HIGHWAY 24, Independence, MO 64056

Other Names 1

Doing Business AsDental Depot Of Independence, Pllc

Accepted Insurance

Reviews for DENTAL DEPOT OF INDEPENDENCE, PLLC

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Dentist
16801 E US HIGHWAY 24
INDEPENDENCE, MO 64056

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568193449, enumerated as an "organization" on June 21, 2022.

The provider is located at 16801 E US HIGHWAY 24 INDEPENDENCE, MO 64056 and the phone number is (816) 750-1345.

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.