| Dental Depot Of Norman, Pllc | |
|
701 West Main Street Norman OK 73069-6918 | |
| (405) 310-6123 | |
| (405) 310-0121 |
| Full Name | Dental Depot Of Norman, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 701 West Main Street, Norman, Oklahoma |
| Authorized Official Name and Position | Glenn Allen Ashmore (PRESIDENT) |
| Authorized Official Contact | 4059490123 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Depot Of Norman, Pllc 2828 Nw 30th St Oklahoma City OK 73112-7404 Ph: (405) 310-6123 | Dental Depot Of Norman, Pllc 701 West Main Street Norman OK 73069-6918 Ph: (405) 310-6123 |
| NPI Number | 1730451808 |
|---|---|
| Provider Enumeration Date | 02/03/2012 |
| Last Update Date | 06/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730451808 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Oklahoma) | Primary |
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