Provider Demographics
NPI:1265592067
Name:OZGEN, RUHAN SEVKET (DDS)
Entity type:Individual
Prefix:MR
First Name:RUHAN
Middle Name:SEVKET
Last Name:OZGEN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2295 ESSINGTON ROAD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:JOLIET
Mailing Address - State:IL
Mailing Address - Zip Code:60435-1654
Mailing Address - Country:US
Mailing Address - Phone:815-254-5404
Mailing Address - Fax:815-254-8622
Practice Address - Street 1:2295 ESSINGTON ROAD
Practice Address - Street 2:SUITE 104
Practice Address - City:JOLIET
Practice Address - State:IL
Practice Address - Zip Code:60435-1654
Practice Address - Country:US
Practice Address - Phone:815-254-5404
Practice Address - Fax:815-254-8622
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist