DENTAL DEPOT OF SURPRISE, PLLC
NPI 1912538497
Clinic/Center - Dental in Surprise, AZ

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

The NPI number for Dental Depot Of Surprise, PLLC is 1912538497. It was assigned to this organization in the NPPES registry on February 3, 2020.

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

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

Active since February 03, 2020

13828 W. GREENWAY RD., SURPRISE, AZ 85374(623) 562-9123(623) 259-0153 Get Directions Write a Review

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

Record update history: Jun 13, 2025, Jun 25, 2021, May 19, 2020 and 2 more (5 updates tracked since 2020).

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About Dental Depot Of Surprise, Pllc NPPES

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

DENTAL DEPOT OF SURPRISE, PLLC (NPI 1912538497) is a healthcare organization registered as a dental in Surprise, Arizona and active in the NPI registry since February 2020. The organization lists Glenn A Ashmore, Owner / Ceo, as its authorized official.

NPPES Registry Identity

NPI1912538497

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameDENTAL DEPOT OF SURPRISE, PLLC

Location Address13828 W. GREENWAY RD.Surprise, AZ 85374

Mailing Address2828 Nw 30th StOklahoma City, OK 73112-7404 · (623) 562-9123 · Fax (623) 259-0153

Phone(623) 562-9123

Fax(623) 259-0153

Organization SubpartNo

Authorized OfficialGlenn A AshmoreOwner / Ceo · (405) 945-8941

Enumeration DateFebruary 3, 2020

Last NPPES UpdateJune 13, 20255 updates tracked since enumeration

NPPES CertifiedJune 13, 2025

✔ NPI 1912538497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

13828 W. GREENWAY RD., Surprise, AZ 85374

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Solstice Healthplans of Arizona, Inc. 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 Surprise, PLLC's NPI number?

The NPI number for Dental Depot Of Surprise, PLLC is 1912538497. It was assigned to this organization in the NPPES registry on February 3, 2020.

Where is Dental Depot Of Surprise, PLLC located?

Dental Depot Of Surprise, PLLC is located at 13828 W. Greenway Rd., Surprise, AZ 85374. The listed phone number is (623) 562-9123.

What is Dental Depot Of Surprise, 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 Surprise, PLLC accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Solstice Healthplans of Arizona, Inc. and UnitedHealthcare list Dental Depot Of Surprise, 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 Surprise, PLLC was last updated on June 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.