Dental Depot of Owasso, PLLC
NPI 1881441699ActiveOrganization· Dentist, General Practice· Owasso, OK
Dentist, General Practice in Owasso, Oklahoma, registered in NPPES in May 2024. The authorized official on file is Gaylon Zissa, Director Of Provider Relations.
Overview
| NPI | 1881441699 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 1, 2024 |
| Last updated in NPPES | May 1, 2024 |
| Certified by provider | Apr 22, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
| Clinic/Center, Dental | 261QD0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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 |
|---|
Other Dentist, General Practice providers in Owasso
- 1891035051
- 1437568730
- 1194908012
- 1972151587
- 1073789293
- 1508989997
- 1528019114
- 1407647159
- 1841385473
- 1407979875
- 1982279139
- 1851341481