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DENTAL DEPOT OF MESA PLLC
NPI 1629659131
Clinic/Center - Dental in Mesa, AZ

Active since April 16, 2021
2311 W BROADWAY RD, MESA, AZ 85202(480) 571-3050(480) 605-5013 Get Directions Write a Review

NPPES record last updated: June 13, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 13, 2025, Apr 16, 2021 (2 updates tracked since 2021).

About Dental Depot Of Mesa Pllc NPPES

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

DENTAL DEPOT OF MESA PLLC (NPI 1629659131) is a healthcare organization registered as a dental in Mesa, Arizona and active in the NPI registry since April 2021. The organization lists Glenn A Ashmore, Owner / Ceo, as its authorized official.

NPPES Registry Identity

NPI1629659131
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameDENTAL DEPOT OF MESA PLLC
Location Address2311 W BROADWAY RDMesa, AZ 85202-1005
Mailing Address2828 Nw 30th StOklahoma City, OK 73112-7404 · (405) 945-8941
Phone(480) 571-3050
Fax(480) 605-5013
Organization SubpartNo
Authorized OfficialGlenn A AshmoreOwner / Ceo · (405) 945-8941
Enumeration DateApril 16, 2021
Last NPPES UpdateJune 13, 20252 updates tracked since enumeration
NPPES CertifiedJune 13, 2025
✔ NPI 1629659131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
2311 W BROADWAY RD, Mesa, AZ 85202
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Solstice Healthplans of Arizona, Inc., UnitedHealthcare.Insurance ›

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 Mesa PLLC's NPI number?

The NPI number for Dental Depot Of Mesa PLLC is 1629659131. It was assigned to this organization in the NPPES registry on April 16, 2021.

Where is Dental Depot Of Mesa PLLC located?

Dental Depot Of Mesa PLLC is located at 2311 W Broadway Rd, Mesa, AZ 85202. The listed phone number is (480) 571-3050.

What is Dental Depot Of Mesa PLLC's specialty?

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

What insurance does Dental Depot Of Mesa PLLC accept?

Health plans from Ambetter from Arizona Complete Health, Solstice Healthplans of Arizona, Inc. and UnitedHealthcare list Dental Depot Of Mesa 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 Mesa PLLC was last updated on June 13, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.