Dental Depot Orthodontics Tecumseh, PLLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

DENTAL DEPOT ORTHODONTICS TECUMSEH, PLLC

Practice address

3401 W Tecumseh Rd Ste B
Norman, OK 73072-1809

Phone

(405) 402-4554

Fax

(405) 292-4180

NPI assigned

Sep 21, 2022

Last updated

Sep 21, 2022By 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

Gaylon Zissa

Title

Director of Provider Relations

Phone

(405) 945-8941

Specialties & licenses 2

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1663718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663718400000",
    "number": "1932822350",
    "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": "405-402-4554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 W TECUMSEH RD STE B",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730721809",
            "telephone_number": "405-402-4554",
            "fax_number": "405-292-4180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL DEPOT ORTHODONTICS TECUMSEH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-21",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A",
        "authorized_official_last_name": "ZISSA",
        "authorized_official_first_name": "GAYLON",
        "authorized_official_title_or_position": "DIRECTOR OF PROVIDER RELATIONS",
        "authorized_official_telephone_number": "405-945-8941"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tecumsehorthohr@dentaldepot.net",
            "affiliation": "N",
            "address_1": "3401 W Tecumseh Rd Ste B",
            "city": "Norman",
            "state": "OK",
            "country_code": "US",
            "postal_code": "730721809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Denise L. Rable, M.D., P.C.
• Joe Ed Denny I, BHCMII
• Dental Depot of 36TH & Tecumseh, PLLC
• Dental Depot of Norman, PLLC
• Dental Depot Orthodontics Norman PLLC
• Dental Design Studio
• Dental Lodge at Brookhave
• Dental Professionals Oklahoma, PC (Dental Care of Norman)
• Pamela Sue Denton, RN
• Department of Mental Health and Substance Abuse

• Orthodontics and Dentofacial Orthopedics Dentistry in Norman, OK
• Providers in Norman, OK by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; 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.