Organization Active NPI

Dr Dave L Ouellette, DDS, PA

  • General Practice Dentistry
  • North Little Rock, AR
National Provider Identifier
1205131869
Registry record updated Jan 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2032 Issued in AR
Legal business name
DR DAVE L OUELLETTE, DDS, PA
Practice address
3401 Springhill Dr
Suite 285
North Little Rock, AR 72117-2924
Phone
(501) 955-0155
Fax
(501) 955-0159
NPI assigned
Jan 12, 2011
Last updated
Jan 12, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Dave L Ouellette, DDS
Title
Owner
Phone
(501) 955-0155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2032 AR Primary

Addresses

Primary practice location

3401 Springhill Dr
Suite 285
North Little Rock, AR 72117-2924

Mailing address

3401 Springhill Dr
Suite 285
North Little Rock, AR 72117-2924
Phone (501) 955-0155

National Provider Directory

National Provider Directory

Locations

3401 Springhill Dr
Ste 285
North Little Rock, AR 72117
Phone (501) 955-0155

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1294790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294790400000",
    "number": "1205131869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 SPRINGHILL DR",
            "address_2": "SUITE 285",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721172924",
            "telephone_number": "501-955-0155",
            "fax_number": "501-955-0159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 SPRINGHILL DR",
            "address_2": "SUITE 285",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721172924",
            "telephone_number": "501-955-0155",
            "fax_number": "501-955-0159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR DAVE L OUELLETTE, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-12",
        "last_updated": "2011-01-12",
        "status": "A",
        "authorized_official_last_name": "OUELLETTE",
        "authorized_official_first_name": "DAVE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-955-0155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "2032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.