Dental Depot Orthodontics Tecumseh, Pllc

NPI #1932822350 in Norman, Oklahoma

Provider Information

NPI Number: 1932822350
Entity Type: Organization
Organization Name: Dental Depot Orthodontics Tecumseh, Pllc
Primary Specialty: Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date: Sep 21, 2022
Last Updated: Sep 21, 2022

Practice Location

Address: 3401 W TECUMSEH RD STE B
City: Norman
State: Oklahoma
ZIP Code: 73072-1809
Phone: (405) 402-4554

Authorized Official

Name: GAYLON ZISSA
Title: DIRECTOR OF PROVIDER RELATIONS
Phone: (405) 945-8941

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X	Primary

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