DENTAL DEPOT OF 10004 SOUTH MEMORIAL DRIVE PLLC
NPI 1699028597
Dentist in Oklahoma City, OK

Q: What is Dental Depot Of 10004 South Memorial Drive PLLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since October 17, 2012

1918 N. DREXEL, OKLAHOMA CITY, OK 73107(918) 209-5123(918) 209-5124 Get Directions Write a Review

NPPES record last updated: June 25, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dental Depot Of 10004 South Memorial Drive Pllc NPPES

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

DENTAL DEPOT OF 10004 SOUTH MEMORIAL DRIVE PLLC (NPI 1699028597) is a healthcare organization registered as a dentist in Oklahoma City, Oklahoma and active in the NPI registry since October 2012. The organization lists Glenn Allen Ashmore, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1699028597

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameDENTAL DEPOT OF 10004 SOUTH MEMORIAL DRIVE PLLC

Location Address1918 N. DREXELOklahoma City, OK 73107

Mailing Address2828 Nw 30th StOklahoma City, OK 73112-7404 · (918) 209-5123 · Fax (918) 209-5124

Phone(918) 209-5123

Fax(918) 209-5124

Organization SubpartNo

Authorized OfficialGlenn Allen AshmoreOwner/president · (405) 949-0123

Enumeration DateOctober 17, 2012

Last NPPES UpdateJune 25, 2021

NPPES CertifiedJune 25, 2021

✔ NPI 1699028597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

1918 N. DREXEL, Oklahoma City, OK 73107

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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

The full list of accepted plans is on the Insurance tab. Issuers include 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 10004 South Memorial Drive PLLC's NPI number?

The NPI number for Dental Depot Of 10004 South Memorial Drive PLLC is 1699028597. It was assigned to this organization in the NPPES registry on October 17, 2012.

Where is Dental Depot Of 10004 South Memorial Drive PLLC located?

Dental Depot Of 10004 South Memorial Drive PLLC is located at 1918 N. Drexel, Oklahoma City, OK 73107. The listed phone number is (918) 209-5123.

What is Dental Depot Of 10004 South Memorial Drive PLLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Dental Depot Of 10004 South Memorial Drive PLLC accept?

Health plans from UnitedHealthcare list Dental Depot Of 10004 South Memorial Drive 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 10004 South Memorial Drive PLLC was last updated on June 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.