Dental Depot of Mesa PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DENTAL DEPOT OF MESA PLLC

Practice address

2311 W Broadway Rd
Mesa, AZ 85202-1005

Phone

(480) 571-3050

Fax

(480) 605-5013

NPI assigned

Apr 16, 2021

Last updated

Jun 13, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Glenn A Ashmore

Title

Owner / Ceo

Phone

(405) 945-8941

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bradley James Babits, DMD

  • Dentist
  • Phoenix, AZ
  • NPI 1871266270
  NPD (past)
• Preetiza Dixit Gyawali, DDS

  • General Practice Dentistry
  • Tucson, AZ
  • NPI 1861087793
  NPD (past)

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

{
    "created_epoch": "1618531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749772800000",
    "number": "1629659131",
    "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": "405-945-8941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 W BROADWAY RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852021005",
            "telephone_number": "480-571-3050",
            "fax_number": "480-605-5013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL DEPOT OF MESA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-16",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A",
        "authorized_official_last_name": "ASHMORE",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER / CEO",
        "authorized_official_telephone_number": "405-945-8941"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Denny, FNP-BC
• Denova Collaborative Health, LLC (Denova Collaborative Health)
• Dental and Braces Mesa LLC
• Dental Care of Mesa LLC
• Dental Center of Mesa PLLC
• Dental Depot of Orthodontics Mesa, PLLC
• Dental Express LLC
• Dental Health and Wellness PLLC
• Dental Innovations
• Dental One, Inc. (Ashbrook Dental Care and Orthodontics)

• Dental Clinic/Center in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Dental Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; 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.