DENTAL DEPOT 62ND & SOUTH WESTERN PLLC is a general practice dentist in Oklahoma City, OK. The provider is 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. DENTAL DEPOT 62ND & SOUTH WESTERN PLLC NPI is 1003196239. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
6217 S WESTERN AVE
OKLAHOMA CITY, OK
ZIP 73139-605
Phone: (405) 606-7123
Fax: (405) 606-7130
The provider's authorized official is Glenn Allen Ashmore .
The authorized official title is President and has the following contact phone number (405) 949-0123.
The enumeration date for this NPI number is 8/19/2011 and was last updated on 6/25/2021.