Provider Demographics
NPI:1821271610
Name:CAPTURE CORPORATION
Entity Type:Organization
Organization Name:CAPTURE CORPORATION
Other - Org Name:ROCK W. WEBSTER, JR. D.D.S.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROSCOE
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:WEBSTER
Authorized Official - Suffix:JR
Authorized Official - Credentials:DDS
Authorized Official - Phone:419-884-0011
Mailing Address - Street 1:201 E MAIN ST
Mailing Address - Street 2:SUITE 4
Mailing Address - City:LEXINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:44904-1366
Mailing Address - Country:US
Mailing Address - Phone:419-884-0011
Mailing Address - Fax:
Practice Address - Street 1:201 E MAIN ST
Practice Address - Street 2:SUITE 4
Practice Address - City:LEXINGTON
Practice Address - State:OH
Practice Address - Zip Code:44904-1366
Practice Address - Country:US
Practice Address - Phone:419-884-0011
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-14
Last Update Date:2007-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30022438122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty