DENTAL DEPOT OF MUSTANG, PLLC
NPI 1679323182
Clinic/Center - Dental in Oklahoma City, OK

Active since March 26, 2024
2825 S MUSTANG ROAD, OKLAHOMA CITY, OK 73099(405) 289-0123 Get Directions Write a Review

NPPES record last updated: March 26, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dental Depot Of Mustang, Pllc NPPES

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

DENTAL DEPOT OF MUSTANG, PLLC (NPI 1679323182) is a healthcare organization registered as a dental in Oklahoma City, Oklahoma and active in the NPI registry since March 2024. The organization lists Gaylon Zissa, Director Of Provider Relations, as its authorized official.

NPPES Registry Identity

NPI1679323182
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameDENTAL DEPOT OF MUSTANG, PLLC
Location Address2825 S MUSTANG ROADOklahoma City, OK 73099
Mailing Address2828 Nw 30th StOklahoma City, OK 73112-7404 · (918) 742-2123
Organization SubpartNo
Authorized OfficialGaylon ZissaDirector Of Provider Relations · (918) 742-2123
Enumeration DateMarch 26, 2024
NPPES CertifiedMarch 22, 2024
NPI 1679323182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
2825 S MUSTANG ROAD, Oklahoma City, OK 73099

Accepted 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 Mustang, PLLC's NPI number?

The NPI number for Dental Depot Of Mustang, PLLC is 1679323182. It was assigned to this organization in the NPPES registry on March 26, 2024.

Where is Dental Depot Of Mustang, PLLC located?

Dental Depot Of Mustang, PLLC is located at 2825 S Mustang Road, Oklahoma City, OK 73099. The listed phone number is (405) 289-0123.

What is Dental Depot Of Mustang, 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 Mustang, 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 Mustang, 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 Mustang, PLLC was last updated on March 26, 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.