DENTAL DEPOT SOUTH 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 SOUTH NPI is 1578768180. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
1024 SW 104TH ST
OKLAHOMA CITY, OK
ZIP 73139-990
Phone: (405) 691-1123
Fax: (405) 691-2674
The provider's authorized official is Gaylon Zissa .
The authorized official title is Director Provider Relations and has the following contact phone number (405) 691-1123.
The enumeration date for this NPI number is 6/15/2007 and was last updated on 6/25/2021.