Organization · Type 2 NPI

Dental Depot 62nd & South Western PLLC

General Practice Dentistry · Oklahoma City, OK

NPI number 1003196239 Active

Practice location

6217 S Western Ave
Oklahoma City, OK 73139-1605

Call (405) 606-7123 Map

Fax (405) 606-7130

Mailing address

2828 NW 30th St
Oklahoma City, OK 73112-7404

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XNone listed

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1003196239

Dental Depot 62nd & South Western PLLC's National Provider Identifier is 1003196239, issued on Aug 19, 2011. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Oklahoma City, OK. The record was last updated on Jun 25, 2021.