Individual
DR. JOHN R. AINSWORTH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
500 N FINANCIAL TER, STE. D, MUSTANG, OK 73064-4432
(405) 376-2072
(405) 376-2094
Mailing address
500 N FINANCIAL TER, STE. D, MUSTANG, OK 73064-4432
(405) 376-2072
(405) 376-2094
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4507
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
731222543-001
BLUE CROSS ASSIGNED NUMBE
OK
Enumeration date
08/11/2005
Last updated
07/08/2007
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