| Ronald T. Oglesby, D.d.s. | |
|
900 W. Ennis Ave. Suite 105 Ennis TX 75119 | |
| (972) 875-6504 | |
| (972) 875-6504 |
| Full Name | Ronald T. Oglesby, D.d.s. |
|---|---|
| Speciality | Dentist |
| Location | 900 W. Ennis Ave., Ennis, Texas |
| Authorized Official Name and Position | Ronald T. Oglesby (OWNER) |
| Authorized Official Contact | 9728756504 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ronald T. Oglesby, D.d.s. 900 W. Ennis Ave. Suite 105 Ennis TX 75119 Ph: (972) 875-6504 | Ronald T. Oglesby, D.d.s. 900 W. Ennis Ave. Suite 105 Ennis TX 75119 Ph: (972) 875-6504 |
| NPI Number | 1942453691 |
|---|---|
| Provider Enumeration Date | 10/28/2008 |
| Last Update Date | 10/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942453691 | NPI | - | NPPES |
| 1730234600 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 9622 (Texas) | Primary |
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