OrganizationActive
Dental Depot South
NPI 1578768180 · General Practice Dentistry · Oklahoma City, OK
Dental Depot South is a General Practice Dentistry organization in Oklahoma City, OK (NPI 1578768180).
Provider details
- NPI number
- 1578768180
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Gaylon Zissa, Director Provider Relations(405) 691-1123
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
1024 Sw 104th St
Oklahoma City, OK 73139-2990
Phone: (405) 691-1123
Fax: (405) 691-2674
Street-level locationGet directions
Mailing address
2828 Nw 30th St
Oklahoma City, OK 73112-7404
Registry dates
- Enumerated
- 2007-06-15
- Last updated
- 2021-06-25
- Certified
- 2021-06-25
Frequently asked questions
- What is Dental Depot South's NPI number?
- Dental Depot South's National Provider Identifier (NPI) is 1578768180, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dental Depot South?
- Dental Depot South is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Dental Depot South located?
- Dental Depot South's practice location on file with NPPES is 1024 Sw 104th St, Oklahoma City, OK 73139-2990.
- What is Dental Depot South's phone number?
- The practice phone number listed in the NPPES registry for Dental Depot South is (405) 691-1123.
- Who is the authorized official for Dental Depot South?
- The authorized official listed on Dental Depot South's NPPES record is Gaylon Zissa, Director Provider Relations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dental Depot South's NPI active?
- Yes — Dental Depot South's NPI (1578768180) is active in the NPPES registry as of the last update on 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.