Dental Depot Orthodontics South PLLC
NPI 1629491832 · Orthodontics and Dentofacial Orthopedics Dentistry · Oklahoma City, OK
Dental Depot Orthodontics South PLLC is a Orthodontics and Dentofacial Orthopedics Dentistry organization in Oklahoma City, OK (NPI 1629491832).
Provider details
- NPI number
- 1629491832
- Entity type
- Organization
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Parent organization
- Dental Depot Westminster Village LLC
- Organization subpart
- Yes
- Authorized official
- Gaylon Zissa, Director(405) 945-8941
- License
- 73 (OK)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
Mailing address
Registry dates
- Enumerated
- 2014-01-23
- Last updated
- 2024-01-11
- Certified
- 2024-01-11
Frequently asked questions
- What is Dental Depot Orthodontics South PLLC's NPI number?
- Dental Depot Orthodontics South PLLC's National Provider Identifier (NPI) is 1629491832, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dental Depot Orthodontics South PLLC?
- Dental Depot Orthodontics South PLLC is classified in the NPPES registry as Orthodontics and Dentofacial Orthopedics Dentistry (Dental Providers).
- Where is Dental Depot Orthodontics South PLLC located?
- Dental Depot Orthodontics South PLLC's practice location on file with NPPES is 1024 Sw 104th St, Oklahoma City, OK 73139-2990.
- What is Dental Depot Orthodontics South PLLC's phone number?
- The practice phone number listed in the NPPES registry for Dental Depot Orthodontics South PLLC is (405) 703-3527.
- Who is the authorized official for Dental Depot Orthodontics South PLLC?
- The authorized official listed on Dental Depot Orthodontics South PLLC's NPPES record is Gaylon Zissa, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dental Depot Orthodontics South PLLC's NPI active?
- Yes — Dental Depot Orthodontics South PLLC's NPI (1629491832) is active in the NPPES registry as of the last update on 2024-01-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.