OrganizationActive
Dental Depot of Mesa PLLC
NPI 1629659131 · Dental Clinic/Center · Mesa, AZ
Dental Depot of Mesa PLLC is a Dental Clinic/Center organization in Mesa, AZ (NPI 1629659131).
Provider details
- NPI number
- 1629659131
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Glenn Ashmore, Owner / Ceo(405) 945-8941
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
2311 W Broadway Rd
Mesa, AZ 85202-1005
Phone: (480) 571-3050
Fax: (480) 605-5013
Street-level locationGet directions
Mailing address
2828 Nw 30th St
Oklahoma City, OK 73112-7404
Registry dates
- Enumerated
- 2021-04-16
- Last updated
- 2025-06-13
- Certified
- 2025-06-13
Frequently asked questions
- What is Dental Depot of Mesa PLLC's NPI number?
- Dental Depot of Mesa PLLC's National Provider Identifier (NPI) is 1629659131, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dental Depot of Mesa PLLC?
- Dental Depot of Mesa PLLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Dental Depot of Mesa PLLC located?
- Dental Depot of Mesa PLLC's practice location on file with NPPES is 2311 W Broadway Rd, Mesa, AZ 85202-1005.
- What is Dental Depot of Mesa PLLC's phone number?
- The practice phone number listed in the NPPES registry for Dental Depot of Mesa PLLC is (480) 571-3050.
- Who is the authorized official for Dental Depot of Mesa PLLC?
- The authorized official listed on Dental Depot of Mesa PLLC's NPPES record is Glenn Ashmore, Owner / Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dental Depot of Mesa PLLC's NPI active?
- Yes — Dental Depot of Mesa PLLC's NPI (1629659131) is active in the NPPES registry as of the last update on 2025-06-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.