Organization
ROSE ROCK DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN RAY HUMPHREY D.D.S (OWNER/MANAGER)
(405) 360-7800
Entity
Organization
Contact information
Practice address
1049 12TH AVE. NE, SUITE 100, NORMAN, OK 73071
(405) 360-7800
Mailing address
1049 NE 12TH AVE, SUITE 100, NORMAN, OK 73071-5312
(405) 360-7800
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6127
OK
Other
Enumeration date
09/01/2011
Last updated
01/29/2015
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