# OZARK ORAL SURGERY GROUP, PLLC

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

## Provider details

- **NPI number:** 1548635048
- **Authorized official:** DR. JEFFREY W ROCKACY DMD, MD (OWNER)
- **Authorized official phone:** (479) 636-3979

## Contact information

- **Practice address:** 591 S HORSEBARN RD STE 100, ROGERS, AR 72758-8710
- **Practice address phone:** (479) 636-3979
- **Practice address fax:** (479) 636-0800
- **Mailing address:** 591 S HORSEBARN RD STE 100, ROGERS, AR 72758-8710
- **Mailing address phone:** (479) 636-3979
- **Mailing address fax:** (479) 636-0800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 12/09/2015
- **Last updated:** 04/21/2016