Organization · Type 2 NPI

Dental Depot Orthodontics Broken Arrow, PLLC

Orthodontics and Dentofacial Orthopedics Dentistry · Broken Arrow, OK

NPI number 1508679598 Active

Practice location

1950 W Kenosha St Ste B
Broken Arrow, OK 74012-8944

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XNone listed

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1508679598

Dental Depot Orthodontics Broken Arrow, PLLC's National Provider Identifier is 1508679598, issued on Jan 31, 2025. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Broken Arrow, OK. The record was last updated on Jan 31, 2025.