| Otter Dental | |
|
1919 Lathrop St Suite 211 Fairbanks AK 99701-5937 | |
| (907) 452-7007 | |
| Not Available |
| Full Name | Otter Dental |
|---|---|
| Speciality | Dentist |
| Location | 1919 Lathrop St, Fairbanks, Alaska |
| Authorized Official Name and Position | Erich Christoffer Ott (OWNER) |
| Authorized Official Contact | 9074527007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Otter Dental 1919 Lathrop St Suite 211 Fairbanks AK 99701-5937 Ph: (907) 452-7007 | Otter Dental 1919 Lathrop St Suite 211 Fairbanks AK 99701-5937 Ph: (907) 452-7007 |
| NPI Number | 1992256341 |
|---|---|
| Provider Enumeration Date | 10/20/2016 |
| Last Update Date | 03/22/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992256341 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 1348 (Alaska) | Primary |
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