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DENTAL DEPOT OF OWASSO, PLLC
NPI 1881441699
Dentist - General Practice in Owasso, OK

Active since May 01, 2024
8722 N GARNETT ROAD, OWASSO, OK 74055(918) 973-7123(539) 208-3596 Get Directions Write a Review

NPPES record last updated: May 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dental Depot Of Owasso, Pllc NPPES

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

DENTAL DEPOT OF OWASSO, PLLC (NPI 1881441699) is a healthcare organization registered as a general practice in Owasso, Oklahoma and active in the NPI registry since May 2024. The organization lists Gaylon Zissa, Director Of Provider Relations, as its authorized official.

NPPES Registry Identity

NPI1881441699
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDENTAL DEPOT OF OWASSO, PLLC
Location Address8722 N GARNETT ROADOwasso, OK 74055
Mailing Address2828 Nw 30th StOklahoma City, OK 73112-7404 · (918) 973-7123 · Fax (539) 208-3596
Phone(918) 973-7123
Fax(539) 208-3596
Organization SubpartNo
Authorized OfficialGaylon ZissaDirector Of Provider Relations · (405) 945-8941
Enumeration DateMay 1, 2024
NPPES CertifiedApril 22, 2024
✔ NPI 1881441699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedClinic/Center · DentalTaxonomy 261QD0000X
8722 N GARNETT ROAD, Owasso, OK 74055
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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 ›

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 Owasso, PLLC's NPI number?

The NPI number for Dental Depot Of Owasso, PLLC is 1881441699. It was assigned to this organization in the NPPES registry on May 1, 2024.

Where is Dental Depot Of Owasso, PLLC located?

Dental Depot Of Owasso, PLLC is located at 8722 N Garnett Road, Owasso, OK 74055. The listed phone number is (918) 973-7123.

What is Dental Depot Of Owasso, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Dental Depot Of Owasso, 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 Of Owasso, 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 Owasso, PLLC was last updated on May 1, 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.