OrganizationActive
Dental Depot Southern Hills 71st & Jackson
NPI 1407412992 · Dental Clinic/Center · Tulsa, OK
Provider details
- NPI number
- 1407412992
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Glenn Ashmore, Owner / President(918) 236-7123
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
710 W 71st St
Tulsa, OK 74132-1825
Phone: (918) 236-7123
Fax: (918) 998-0818
Street-level locationGet directions
Mailing address
2828 Nw 30th St
Oklahoma City, OK 73112-7404
Registry dates
- Enumerated
- 2019-05-10
- 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.