# ROSE ROCK DENTAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437430618
- **Authorized official:** DR. BENJAMIN RAY HUMPHREY D.D.S (OWNER/MANAGER)
- **Authorized official phone:** (405) 360-7800

## Contact information

- **Practice address:** 1049 12TH AVE. NE, SUITE 100, NORMAN, OK 73071
- **Practice address phone:** (405) 360-7800
- **Mailing address:** 1049 NE 12TH AVE, SUITE 100, NORMAN, OK 73071-5312
- **Mailing address phone:** (405) 360-7800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 6127 | OK | Yes |

## Other

- **Enumeration date:** 09/01/2011
- **Last updated:** 01/29/2015