| Richard L Ousley Dds Pc | |
|
404 West Perry Street Manchester GA 31816 | |
| (706) 846-2218 | |
| (706) 846-9182 |
| Full Name | Richard L Ousley Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 404 West Perry Street, Manchester, Georgia |
| Authorized Official Name and Position | Richard L Ousley (PRESIDENT) |
| Authorized Official Contact | 7068462218 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard L Ousley Dds Pc Po Box 430 404 West Perry Street Manchester GA 31816 Ph: (706) 846-2218 | Richard L Ousley Dds Pc 404 West Perry Street Manchester GA 31816 Ph: (706) 846-2218 |
| NPI Number | 1861694374 |
|---|---|
| Provider Enumeration Date | 06/05/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861694374 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | GA7225 (Georgia) | Primary |
| 1223G0001X | Dentist - General Practice | GA7225 (Georgia) | Primary |