| John S. Ousley, Dds, Msd, Pa | |
|
7005 Pastor Bailey Suite 100 A Dallas TX 75237-2649 | |
| (972) 296-1835 | |
| (972) 296-1867 |
| Full Name | John S. Ousley, Dds, Msd, Pa |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 7005 Pastor Bailey, Dallas, Texas |
| Authorized Official Name and Position | John S Ousley (PRESIDENT) |
| Authorized Official Contact | 9722961835 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John S. Ousley, Dds, Msd, Pa 7005 Pastor Bailey Suite 100 A Dallas TX 75237-2649 Ph: (972) 296-1835 | John S. Ousley, Dds, Msd, Pa 7005 Pastor Bailey Suite 100 A Dallas TX 75237-2649 Ph: (972) 296-1835 |
| NPI Number | 1366623175 |
|---|---|
| Provider Enumeration Date | 11/20/2007 |
| Last Update Date | 08/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366623175 | NPI | - | NPPES |
| 09077840 | Medicaid | TX | |
| 009848501 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 8346 (Texas) | Primary |
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