Provider Demographics
NPI:1982826038
Name:OUELLET, DAVID FRANK (DDS)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:FRANK
Last Name:OUELLET
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:730 E CHAPEL ST
Mailing Address - Street 2:
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93454-4576
Mailing Address - Country:US
Mailing Address - Phone:805-925-8767
Mailing Address - Fax:805-925-3271
Practice Address - Street 1:730 E CHAPEL ST
Practice Address - Street 2:
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93454-4576
Practice Address - Country:US
Practice Address - Phone:805-925-8767
Practice Address - Fax:805-925-3271
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA342921223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice