Dental Depot of Moore, Pllc

NPI #1831325570 in Moore, Oklahoma

Provider Information

NPI Number: 1831325570
Entity Type: Organization
Organization Name: Dental Depot of Moore, Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 9, 2009
Last Updated: Jun 25, 2021

Practice Location

Address: 2709 S. I-35 FRONTAGE RD
Address 2: SUITE B
City: Moore
State: Oklahoma
ZIP Code: 73160
Phone: (405) 799-9123

Authorized Official

Name: BRYSON POGSON
Title: DIR. OF BUSINESS DEVELOPMENT
Phone: (405) 945-8941

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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