Organization
ROSE ROCK FAMILY DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARA BASSETT DDS (OWNER/MANAGER)
(405) 377-7323
Entity
Organization
Contact information
Practice address
1526 W 8TH AVE, STILLWATER, OK 74074-4372
(405) 377-7323
(405) 372-1576
Mailing address
1526 W 8TH AVE, STILLWATER, OK 74074-4372
(405) 377-7323
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200399260A
—
OK
Enumeration date
07/21/2015
Last updated
03/06/2019
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