Provider Demographics
NPI:1801211305
Name:OZER, FATMA (DMD)
Entity Type:Individual
Prefix:
First Name:FATMA
Middle Name:
Last Name:OZER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:240 SOUTH 40TH STREET
Mailing Address - Street 2:SCHATTNER BUILDING # 350
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104
Mailing Address - Country:US
Mailing Address - Phone:215-573-3751
Mailing Address - Fax:
Practice Address - Street 1:240 SOUTH 40TH STREET
Practice Address - Street 2:SCHATTNER BUILDING # 350
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104
Practice Address - Country:US
Practice Address - Phone:215-573-3751
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-20
Last Update Date:2014-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS039749122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist