# DENTAL DEPOT OF POWER & BASELINE, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dental Depot of Power & Baseline, PLLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447931803
- **Authorized official:** GLENN A ASHMORE (OWNER / CEO)
- **Authorized official phone:** (405) 945-8941

## Contact information

- **Practice address:** 2170 POWER RD., GILBERT, AZ 85234
- **Practice address phone:** (520) 900-8123
- **Practice address fax:** (520) 598-0004
- **Mailing address:** 2170 POWER RD., GILBERT, AZ 85234
- **Mailing address phone:** (520) 900-8123
- **Mailing address fax:** (520) 598-0004

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/28/2023
- **Last updated:** 06/13/2025