Dental Depot Southern Hills 71St & Jackson

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DENTAL DEPOT SOUTHERN HILLS 71ST & JACKSON

Practice address

710 W 71St St
Tulsa, OK 74132-1825

Phone

(918) 236-7123

Fax

(918) 998-0818

NPI assigned

May 10, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Glenn Allan Ashmore, DDS

Title

Owner / President

Phone

(918) 236-7123

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jonah Halsell, DMD

  • Dentist
  • Tulsa, OK
  • NPI 1538859558
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1557446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624579200000",
    "number": "1407412992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 NW 30TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731127404",
            "telephone_number": "918-236-7123",
            "fax_number": "918-998-0818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 W 71ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741321825",
            "telephone_number": "918-236-7123",
            "fax_number": "918-998-0818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL DEPOT SOUTHERN HILLS 71ST & JACKSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-10",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A",
        "authorized_official_last_name": "ASHMORE",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "918-236-7123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100088170A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie P Denson
• Dental Arts of South Tulsa, LLC
• Dental Depot of I-44 & Garnett, PLLC
• Dental Depot of I-44 & Harvard, PLLC
• Dental Depot of Tulsa
• Dental Health Associates of Texas, PC.
• Dental Masterpieces PLLC
• Dental Professionals of Oklahoma, PC
• Carole M Dentino, MD
• Dentistry by Design of Tulsa, Inc.

• Dental Clinic/Center in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Dental Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.