OrganizationActive
Dental Depot of 63rd & Nw Expressway, PLLC
NPI 1861058877 · Dental Clinic/Center · Oklahoma City, OK
Provider details
- NPI number
- 1861058877
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Glenn Ashmore, Owner / President(405) 591-3123
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
4025 Nw 63rd Street
Oklahoma City, OK 73116
Phone: (405) 591-3123
Fax: (405) 653-1714
Approximate (ZIP-level) locationGet directions
Mailing address
2828 Nw 30th St
Oklahoma City, OK 73112-7404
Registry dates
- Enumerated
- 2019-05-15
- Last updated
- 2021-06-25
- Certified
- 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.