Dental Depot of 164th & Portland PLLC
NPI 1639895402 · General Practice Dentistry · Oklahoma City, OK
Dental Depot of 164th & Portland PLLC is a General Practice Dentistry organization in Oklahoma City, OK (NPI 1639895402).
Provider details
- NPI number
- 1639895402
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Gaylon Zissa, Director of Provider Relations(405) 409-3789
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
- 2022-10-13
- Last updated
- 2022-10-13
- Certified
- 2022-10-07
Frequently asked questions
- What is Dental Depot of 164th & Portland PLLC's NPI number?
- Dental Depot of 164th & Portland PLLC's National Provider Identifier (NPI) is 1639895402, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dental Depot of 164th & Portland PLLC?
- Dental Depot of 164th & Portland PLLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Dental Depot of 164th & Portland PLLC located?
- Dental Depot of 164th & Portland PLLC's practice location on file with NPPES is 16401 Ironstone Place, Oklahoma City, OK 73013.
- What is Dental Depot of 164th & Portland PLLC's phone number?
- The practice phone number listed in the NPPES registry for Dental Depot of 164th & Portland PLLC is (405) 900-7123.
- Who is the authorized official for Dental Depot of 164th & Portland PLLC?
- The authorized official listed on Dental Depot of 164th & Portland 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 of 164th & Portland PLLC's NPI active?
- Yes — Dental Depot of 164th & Portland PLLC's NPI (1639895402) is active in the NPPES registry as of the last update on 2022-10-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.