OrganizationActive
Dental Depot of Blue Springs PLLC
NPI 1164033122 · Dental Clinic/Center · Blue Springs, MO
Provider details
- NPI number
- 1164033122
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Gaylon Zissa, Professional Relations Manager(405) 945-8941
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1500 S 7 Hwy
Blue Springs, MO 64014-3943
Phone: (816) 295-7927
Fax: (816) 874-6812
Approximate (ZIP-level) locationGet directions
Mailing address
2828 Nw 30th St
Oklahoma City, OK 73112-7404
Other names (DBA / former)
- Doing business as
- Dental Depot of Blue Springs PLLC
- Doing business as
- Dental Depot of Blue Springs PLLC
Registry dates
- Enumerated
- 2020-08-13
- Last updated
- 2021-06-25
- Certified
- 2021-06-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.