Organization Active NPI

David L. Ouellette D.D.S.

  • General Practice Dentistry
  • Bryant, AR
National Provider Identifier
1902053978
Registry record updated Aug 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3289 Issued in AR
Legal business name
DAVID L. OUELLETTE D.D.S.
Practice address
5921 Highway 5 N
Bryant, AR 72022-8515
Phone
(501) 847-7999
Fax
(501) 653-0074
NPI assigned
Aug 21, 2008
Last updated
Aug 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2008

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

Authorized official

Name
Dr. David Lynn Ouellette, D.D.S.NPI 1376634006
Title
Dentist
Phone
(501) 847-7999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 3289 AR Primary

Addresses

Primary practice location

5921 Highway 5 N
Bryant, AR 72022-8515

Mailing address

5921 Highway 5 N
Bryant, AR 72022-8515
Phone (501) 847-7999

National Provider Directory

National Provider Directory

Locations

5921 Highway 5 N
Bryant, AR 72022
Phone (501) 847-7999

Practitioners & affiliated clinicians

Practitioners 2

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": "1219276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219276800000",
    "number": "1902053978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5921 HIGHWAY 5 N",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720228515",
            "telephone_number": "501-847-7999",
            "fax_number": "501-653-0074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5921 HIGHWAY 5 N",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720228515",
            "telephone_number": "501-847-7999",
            "fax_number": "501-653-0074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID L. OUELLETTE D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-21",
        "last_updated": "2008-08-21",
        "status": "A",
        "authorized_official_last_name": "OUELLETTE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "501-847-7999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "3289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryant, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; 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.