DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DENTAL DEPOT OF BROKEN ARROW, PLLC

Active Organization

DENTAL DEPOT OF BROKEN ARROW, PLLC is a Dentist organization located in BROKEN ARROW, Oklahoma. NPI 1780001636 is currently active in the NPPES registry. Verify at CMS.

Dentist · BROKEN ARROW, OK

Registration Details

NPI Number
1780001636
Provider Type
Organization
NPI Issued
Mar 27, 2014 (12.405811398759 yrs)
Last Updated
Jun 22, 2021
License
3723 (OK)

Practice Information

Address
1950 W KENOSHA ST
BROKEN ARROW, OK, 740128944
Browse OK providers · Browse ZIP 74012
Phone
4059458941
Fax
4059458959
Primary Specialty
Dentist
122300000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.