Dental Depot of Tulsa

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3723 Issued in OK

Legal business name

DENTAL DEPOT OF TULSA

Practice address

2145 S Sheridan Rd
Tulsa, OK 74129-1001

Phone

(405) 832-1123

Fax

(405) 601-5453

NPI assigned

Dec 15, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Glenn Allen Ashmore, DDS

Title

President

Phone

(405) 832-1123

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1292371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624579200000",
    "number": "1467755371",
    "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": "405-832-1123",
            "fax_number": "405-601-5453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2145 S SHERIDAN RD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741291001",
            "telephone_number": "405-832-1123",
            "fax_number": "405-601-5453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL DEPOT OF TULSA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-15",
        "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": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-832-1123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "3723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zalee Mae Densmore
• 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 Southern Hills 71St & Jackson
• Dental Health Associates of Texas, PC. (Tulsa Hills Dental Care)
• Dental Masterpieces PLLC
• Dental Professionals of Oklahoma, PC (Glisten Dental Care of Tulsa)
• Carole M Dentino, MD

• General Practice Dentistry in Tulsa, OK
• Providers in Tulsa, OK by specialty
• General Practice Dentistry 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.