Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Dental Depot of 10004 South Memorial Drive PLLC

Organization Dentist · NPI 1699028597

Dental Depot of 10004 South Memorial Drive PLLC provides Dentist services in Oklahoma City, Oklahoma. Registered with an NPI since 2012.

In the registry since
2012
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1918 N Drexel
Oklahoma City, OK 73107
Phone: (918) 209-5123
Fax: (918) 209-5124
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1699028597
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Glenn Ashmore — Owner/President · (405) 949-0123
NPI enumeratedOctober 17, 2012
Last updated in NPPESJune 25, 2021
Certification dateJune 25, 2021
Mailing address2828 Nw 30th St, Oklahoma City, OK 73112-7404

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