Organization · Type 2 NPI

Dental Depot of Broken Arrow, PLLC

Dentist · Broken Arrow, OK

NPI number 1780001636 Active

Practice location

1950 W Kenosha St
Broken Arrow, OK 74012-8944

Call (405) 945-8941 Map

Fax (405) 945-8959

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X3723 (OK)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1780001636

Dental Depot of Broken Arrow, PLLC's National Provider Identifier is 1780001636, issued on Mar 27, 2014. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Broken Arrow, OK. The record was last updated on Jun 22, 2021.