Dental Depot of del City, PLLC
NPI 1205512779ActiveOrganization· Dentist· Del City, OK
Dentist in Del City, Oklahoma, registered in NPPES in June 2023. The authorized official on file is Gaylon Zissa, Director Of Provider Relations.
Overview
| NPI | 1205512779 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 27, 2023 |
| Last updated in NPPES | Jun 27, 2023 |
| Certified by provider | Jun 27, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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