DENTAL DEPOT ORTHODONTICS SOUTH PLLC
NPI 1629491832
Dentist - Orthodontics and Dentofacial Orthopedics in Oklahoma City, OK

Active since January 23, 2014
1024 SW 104TH ST, OKLAHOMA CITY, OK 73139(405) 703-3527 Get Directions Write a Review

NPPES record last updated: January 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dental Depot Orthodontics South Pllc NPPES

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

DENTAL DEPOT ORTHODONTICS SOUTH PLLC (NPI 1629491832) is a healthcare organization registered as an orthodontics and dentofacial orthopedics in Oklahoma City, Oklahoma and active in the NPI registry since January 2014. The organization lists Gaylon Zissa, Director, as its authorized official.

NPPES Registry Identity

NPI1629491832
Entity TypeOrganization
Primary Taxonomy1223X0400X
Legal Business NameDENTAL DEPOT ORTHODONTICS SOUTH PLLC
Location Address1024 SW 104TH STOklahoma City, OK 73139-2990
Mailing Address2828 Nw 30th StOklahoma City, OK 73112-7404 · (405) 945-8941 · Fax (405) 945-8959
Organization SubpartYesParent: Dental Depot Westminster Village Llc
Authorized OfficialGaylon ZissaDirector · (405) 945-8941
Enumeration DateJanuary 23, 2014
Last NPPES UpdateJanuary 11, 2024
NPPES CertifiedJanuary 11, 2024
NPI 1629491832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in OK · 73
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
1024 SW 104TH ST, Oklahoma City, OK 73139

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

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Orthodontics and Dentofacial Orthopedics)
1024 SW 104TH ST
OKLAHOMA CITY, OK 73139
Dentist (General Practice)
1024 SW 104TH ST
OKLAHOMA CITY, OK 73139
Dentist (General Practice)
1024 SW 104TH ST
OKLAHOMA CITY, OK 73139
Dentist
1024 SW 104TH ST
OKLAHOMA CITY, OK 73139
Dentist
1024 SW 104TH ST
OKLAHOMA CITY, OK 73139
Dentist (General Practice)
1024 SW 104TH ST
OKLAHOMA CITY, OK 73139
Dentist
1024 SW 104TH ST
OKLAHOMA CITY, OK 73139
Dentist
1024 SW 104TH ST
OKLAHOMA CITY, OK 73139

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 South PLLC's NPI number?

The NPI number for Dental Depot Orthodontics South PLLC is 1629491832. It was assigned to this organization in the NPPES registry on January 23, 2014.

Where is Dental Depot Orthodontics South PLLC located?

Dental Depot Orthodontics South PLLC is located at 1024 SW 104th St, Oklahoma City, OK 73139. The listed phone number is (405) 703-3527.

What is Dental Depot Orthodontics South PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

What insurance does Dental Depot Orthodontics South 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 and 1 other insurer list Dental Depot Orthodontics South 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 Orthodontics South PLLC was last updated on January 11, 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.