| David H. Otis, D.d.s. | |
|
4957 Swinyar Dr Ste 107 Ooltewah TN 37363-2205 | |
| (423) 396-3154 | |
| (423) 396-3156 |
| Full Name | David H. Otis, D.d.s. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4957 Swinyar Dr Ste 107, Ooltewah, Tennessee |
| Authorized Official Name and Position | David H Otis (DENTIST) |
| Authorized Official Contact | 4233963154 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David H. Otis, D.d.s. 4957 Swinyar Dr Ste 107 Ooltewah TN 37363-2205 Ph: (423) 396-3154 | David H. Otis, D.d.s. 4957 Swinyar Dr Ste 107 Ooltewah TN 37363-2205 Ph: (423) 396-3154 |
| NPI Number | 1881151991 |
|---|---|
| Provider Enumeration Date | 02/25/2019 |
| Last Update Date | 02/25/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881151991 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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