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NPI Code Detail

MEDICARE: DR. COURTNEY M HOUSLEY DDS

MEDICARE:  DR. COURTNEY M HOUSLEY  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry5788OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952451460
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. COURTNEY M HOUSLEY DDS
Provider Business Mailing Address
First Line : 416 S MUSTANG RD
Second Line : SUITE A
City : YUKON
State : OK
Zip : 73099-7314
Country : US
Telephone Number : 405-265-3131
Fax Number : 405-265-2479
Provider Business Practice Location Address
First Line : 416 S MUSTANG RD
Second Line : SUITE A
City : YUKON
State : OK
Zip : 73099-7314
Country : US
Telephone Number : 405-265-3131
Fax Number : 405-265-2479
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2007
Last Update Date : 01/24/2013

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Directions to “ DR. COURTNEY M HOUSLEY DDS” Practice Location

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