OrganizationActive
Dental Depot of Del City, PLLC
NPI 1205512779 · Dentist · Del City, OK
Dental Depot of Del City, PLLC is a Dentist organization in Del City, OK (NPI 1205512779).
Provider details
- NPI number
- 1205512779
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Gaylon Zissa, Director of Provider Relations(405) 945-8941
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
5004 Se 29th St
Del City, OK 73115-4710
Phone: (405) 477-8123
Fax: (405) 669-2850
Street-level locationGet directions
Mailing address
5004 Se 29th St
Del City, OK 73115-4710
Registry dates
- Enumerated
- 2023-06-27
- Last updated
- 2023-06-27
- Certified
- 2023-06-27
Frequently asked questions
- What is Dental Depot of Del City, PLLC's NPI number?
- Dental Depot of Del City, PLLC's National Provider Identifier (NPI) is 1205512779, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dental Depot of Del City, PLLC?
- Dental Depot of Del City, PLLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Dental Depot of Del City, PLLC located?
- Dental Depot of Del City, PLLC's practice location on file with NPPES is 5004 Se 29th St, Del City, OK 73115-4710.
- What is Dental Depot of Del City, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Dental Depot of Del City, PLLC is (405) 477-8123.
- Who is the authorized official for Dental Depot of Del City, PLLC?
- The authorized official listed on Dental Depot of Del City, PLLC's NPPES record is Gaylon Zissa, Director of Provider Relations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dental Depot of Del City, PLLC's NPI active?
- Yes — Dental Depot of Del City, PLLC's NPI (1205512779) is active in the NPPES registry as of the last update on 2023-06-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.