Individual
JON S OUSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MSD
Contact information
Practice address
7005 PASTOR BAILEY DR, SUITE 100A, DALLAS, TX 75237
(972) 296-1835
(972) 296-1867
Mailing address
7005 PASTOR BAILEY DR, SUITE 100A, DALLAS, TX 75237
(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
—
00948501
—
TX
Enumeration date
09/29/2006
Last updated
12/19/2011
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