MEDICARE: DR. JOHN R. AINSWORTH D.D.S.

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
1	1223G0001X	General Practice Dentistry	4507	OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	731222543-001	OTHER	OK	BLUE CROSS ASSIGNED NUMBE

General Provider Information

NPI Number	:	1205838026
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN R. AINSWORTH D.D.S.

Provider Business Mailing Address
First Line	:	500 N FINANCIAL TER
Second Line	:	STE. D
City	:	MUSTANG
State	:	OK
Zip	:	73064-4432
Country	:	US
Telephone Number	:	405-376-2072
Fax Number	:	405-376-2094

Provider Business Practice Location Address
First Line	:	500 N FINANCIAL TER
Second Line	:	STE. D
City	:	MUSTANG
State	:	OK
Zip	:	73064-4432
Country	:	US
Telephone Number	:	405-376-2072
Fax Number	:	405-376-2094

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/11/2005
Last Update Date	:	07/08/2007

Similar Medicare Providers

1245210020 — DR. REBECCA LYNN POAGE OD
Practice Location Address:

500 N FINANCIAL TER , SUITE A
MUSTANG, OK
73064-4432

Practice Phone: 405-256-0126
Practice Fax: 405-256-0563

1760602973 — GLORIA JEAN AL ESMAEL LPC
Practice Location Address:

500 N FINANCIAL TER STE G
MUSTANG, OK
73064-4432

Practice Phone: 405-256-5996
Practice Fax: 405-265-2553

1801167663 — DR. COURTNEY ANN WEDEL D.D.S
Practice Location Address:

500 N FINANCIAL TER STE D
MUSTANG, OK
73064-4432

Practice Phone: 405-376-2072
Practice Fax:

1346691730 — KRISTIN BLOOD
Practice Location Address:

500 N FINANCIAL TER STE G
MUSTANG, OK
73064-4432

Practice Phone: 405-256-5996
Practice Fax:

1235835190 — JOSHUA CROSSLEY, DDS, PLLC
Practice Location Address:

500 N FINANCIAL TER STE D
MUSTANG, OK
73064-4432

Practice Phone: 405-376-2072
Practice Fax:

1740122779 — DONTAE JAMAHL COOPER LPC-A
Practice Location Address:

1150 E STATE HIGHWAY 152
MUSTANG, OK
73064-5116

Practice Phone: 405-329-1157
Practice Fax:

Directions to “ DR. JOHN R. AINSWORTH D.D.S.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.