Dental Depot Orthodontics SW Okc, PLLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

DENTAL DEPOT ORTHODONTICS SW OKC, PLLC

Practice address

6217 S Western Ave Ste a
Oklahoma City, OK 73139-1605

Phone

(405) 606-7123

Fax

(405) 606-7130

NPI assigned

Jul 7, 2014

Organization subpart

No

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

Authorized official

Name

Glenn Allan Ashmore, DDS

Title

Owner / President

Phone

(405) 949-0123

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1404691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404691200000",
    "number": "1962818351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6217 S WESTERN AVE STE A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731391605",
            "telephone_number": "405-606-7123",
            "fax_number": "405-606-7130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6217 S WESTERN AVE STE A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731391605",
            "telephone_number": "405-606-7123",
            "fax_number": "405-606-7130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL DEPOT ORTHODONTICS SW OKC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-07",
        "last_updated": "2014-07-07",
        "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": "405-949-0123",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dental Depot of 63Rd & NW Expressway, PLLC
• Dental Depot of Mustang, PLLC
• Dental Depot Orthodontics Central Okc PLLC
• Dental Depot Orthodontics North Okc PLLC
• Dental Depot Orthodontics South PLLC
• Dental Depot South
• Dental Expressions
• Dental Health Associates of Texas, PC.
• Dental Professionals of Ok, PC
• Dental Professionals of Oklahoma, PC

• Orthodontics and Dentofacial Orthopedics Dentistry in Oklahoma City, OK
• Providers in Oklahoma City, 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 Jul 7, 2014; 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.