| Rose Rock Dental Pllc | |
|
1049 12th Ave. Ne Suite 100 Norman OK 73071 | |
| (405) 360-7800 | |
| Not Available |
| Full Name | Rose Rock Dental Pllc |
|---|---|
| Speciality | Dentist |
| Location | 1049 12th Ave. Ne, Norman, Oklahoma |
| Authorized Official Name and Position | Benjamin Ray Humphrey (OWNER/MANAGER) |
| Authorized Official Contact | 4053607800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rose Rock Dental Pllc 1049 Ne 12th Ave Suite 100 Norman OK 73071-5312 Ph: (405) 360-7800 | Rose Rock Dental Pllc 1049 12th Ave. Ne Suite 100 Norman OK 73071 Ph: (405) 360-7800 |
| NPI Number | 1437430618 |
|---|---|
| Provider Enumeration Date | 09/01/2011 |
| Last Update Date | 01/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437430618 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6127 (Oklahoma) | Primary |
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