Dental Depot Orthodontics Broken Arrow, PLLC
NPI 1508679598 · Orthodontics and Dentofacial Orthopedics Dentistry · Broken Arrow, OK
Dental Depot Orthodontics Broken Arrow, PLLC is a Orthodontics and Dentofacial Orthopedics Dentistry organization in Broken Arrow, OK (NPI 1508679598).
Provider details
- NPI number
- 1508679598
- Entity type
- Organization
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Gaylon Zissa, Director of Provider Relations(405) 945-8941
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
Mailing address
Registry dates
- Enumerated
- 2025-01-31
- Last updated
- 2025-01-31
- Certified
- 2025-01-31
Frequently asked questions
- What is Dental Depot Orthodontics Broken Arrow, PLLC's NPI number?
- Dental Depot Orthodontics Broken Arrow, PLLC's National Provider Identifier (NPI) is 1508679598, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dental Depot Orthodontics Broken Arrow, PLLC?
- Dental Depot Orthodontics Broken Arrow, PLLC is classified in the NPPES registry as Orthodontics and Dentofacial Orthopedics Dentistry (Dental Providers).
- Where is Dental Depot Orthodontics Broken Arrow, PLLC located?
- Dental Depot Orthodontics Broken Arrow, PLLC's practice location on file with NPPES is 1950 W Kenosha St Ste B, Broken Arrow, OK 74012-8944.
- What is Dental Depot Orthodontics Broken Arrow, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Dental Depot Orthodontics Broken Arrow, PLLC is (539) 476-9588.
- Who is the authorized official for Dental Depot Orthodontics Broken Arrow, PLLC?
- The authorized official listed on Dental Depot Orthodontics Broken Arrow, 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 Orthodontics Broken Arrow, PLLC's NPI active?
- Yes — Dental Depot Orthodontics Broken Arrow, PLLC's NPI (1508679598) is active in the NPPES registry as of the last update on 2025-01-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.