Provider Demographics
NPI:1568620797
Name:OGUREK, RICK L (DMD)
Entity Type:Individual
Prefix:DR
First Name:RICK
Middle Name:L
Last Name:OGUREK
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 INNERHILL LN
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07747-1717
Mailing Address - Country:US
Mailing Address - Phone:732-290-8345
Mailing Address - Fax:
Practice Address - Street 1:EAST JERSEY STATE PRISON
Practice Address - Street 2:LOCKBAG R
Practice Address - City:RAHWAY
Practice Address - State:NJ
Practice Address - Zip Code:07065
Practice Address - Country:US
Practice Address - Phone:732-396-0492
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-23
Last Update Date:2008-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI01532800122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist