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Organization

JOHN S. OUSLEY, DDS, MSD, PA

Active
Other names
Jon S. Ousley DDS, MSD, Inc
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN S OUSLEY DDS, MSD (PRESIDENT)
(972) 296-1835
Entity
Organization

Contact information

Practice address
7005 PASTOR BAILEY, SUITE 100 A, DALLAS, TX 75237-2649
(972) 296-1835
(972) 296-1867
Mailing address
7005 PASTOR BAILEY, SUITE 100 A, DALLAS, TX 75237-2649
(972) 296-1835
(972) 296-1867

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
8346
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009848501
TX
05
09077840
TX
Enumeration date
11/20/2007
Last updated
08/14/2008
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