Provider Demographics
NPI:1922775238
Name:FURIA, ROSEMARIE (DDS)
Entity Type:Individual
Prefix:
First Name:ROSEMARIE
Middle Name:
Last Name:FURIA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:621 S HARDING ST STE B
Mailing Address - Street 2:
Mailing Address - City:ENID
Mailing Address - State:OK
Mailing Address - Zip Code:73703-6319
Mailing Address - Country:US
Mailing Address - Phone:580-233-2194
Mailing Address - Fax:580-297-3606
Practice Address - Street 1:621 S HARDING ST STE B
Practice Address - Street 2:
Practice Address - City:ENID
Practice Address - State:OK
Practice Address - Zip Code:73703-6319
Practice Address - Country:US
Practice Address - Phone:580-233-2194
Practice Address - Fax:580-297-3606
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-24
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK46891223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice