Provider Demographics
NPI:1932216108
Name:OUSBORNE, ALBERT LOUIS JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:LOUIS
Last Name:OUSBORNE
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:21 WEST RD
Mailing Address - Street 2:104
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-2325
Mailing Address - Country:US
Mailing Address - Phone:410-828-1177
Mailing Address - Fax:410-828-1252
Practice Address - Street 1:21 WEST RD
Practice Address - Street 2:104
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-2325
Practice Address - Country:US
Practice Address - Phone:410-828-1177
Practice Address - Fax:410-828-1252
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MD39881223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics