Provider Demographics
NPI:1922580810
Name:N. OZDER DENTAL PRACTICE INC.
Entity Type:Organization
Organization Name:N. OZDER DENTAL PRACTICE INC.
Other - Org Name:OCEAN DENTAL GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NECDET
Authorized Official - Middle Name:
Authorized Official - Last Name:OZDER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:661-202-0454
Mailing Address - Street 1:1530 E GOLDEN VALLEY WAY
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93730-3587
Mailing Address - Country:US
Mailing Address - Phone:661-202-0454
Mailing Address - Fax:559-475-0389
Practice Address - Street 1:9349 FOOTHILL BLVD STE B
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-3567
Practice Address - Country:US
Practice Address - Phone:909-980-6363
Practice Address - Fax:909-481-5675
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-06
Last Update Date:2021-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental