DENTAL DEPOT OF BROKEN ARROW, PLLC
NPI 1780001636
Dentist in Broken Arrow, OK

Q: What is Dental Depot Of Broken Arrow, PLLC's NPI number?

The NPI number for Dental Depot Of Broken Arrow, PLLC is 1780001636. It was assigned to this organization in the NPPES registry on March 27, 2014.

Q: What is Dental Depot Of Broken Arrow, PLLC's specialty?

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

Active since March 27, 2014

1950 W KENOSHA ST, BROKEN ARROW, OK 74012(405) 945-8941(405) 945-8959 Get Directions Write a Review

NPPES record last updated: June 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dental Depot Of Broken Arrow, Pllc NPPES

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

DENTAL DEPOT OF BROKEN ARROW, PLLC (NPI 1780001636) is a healthcare organization registered as a dentist in Broken Arrow, Oklahoma and active in the NPI registry since March 2014. The organization lists Glenn Allan Ashmore, Owner / President, as its authorized official.

NPPES Registry Identity

NPI1780001636

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameDENTAL DEPOT OF BROKEN ARROW, PLLC

Location Address1950 W KENOSHA STBroken Arrow, OK 74012-8944

Mailing Address2828 Nw 30th StOklahoma City, OK 73112-7404 · (405) 945-8941 · Fax (405) 945-8959

Phone(405) 945-8941

Fax(405) 945-8959

Organization SubpartNo

Authorized OfficialGlenn Allan AshmoreOwner / President · (405) 949-0123

Enumeration DateMarch 27, 2014

Last NPPES UpdateJune 22, 2021

NPPES CertifiedJune 22, 2021

✔ NPI 1780001636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in OK · 3723

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.

1950 W KENOSHA ST, Broken Arrow, OK 74012

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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 Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Other Providers at the Same Location NPPES 5

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

DR. TYLER ALLEN ROLLAND DDS

Dentist (General Practice)