MEDICARE: DEBORAH ROCK OZMENT DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	4718	OK

General Provider Information

NPI Number	:	1992716328
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH ROCK OZMENT DDS

Provider Business Mailing Address
First Line	:	9642 N MAY AVE
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73120-2714
Country	:	US
Telephone Number	:	405-752-0111
Fax Number	:

Provider Business Practice Location Address
First Line	:	9642 N MAY AVE
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73120-2714
Country	:	US
Telephone Number	:	405-752-0111
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2006
Last Update Date	:	07/08/2007

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