| Ottley Family Dental Pllc | |
|
309 Market St E Fayetteville TN 37334-3023 | |
| (931) 438-7064 | |
| (931) 438-7066 |
| Full Name | Ottley Family Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 309 Market St E, Fayetteville, Tennessee |
| Authorized Official Name and Position | Robert Brian Ottley (DENTIST) |
| Authorized Official Contact | 9314387064 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ottley Family Dental Pllc 309 Market St E Fayetteville TN 37334-3023 Ph: (931) 438-7064 | Ottley Family Dental Pllc 309 Market St E Fayetteville TN 37334-3023 Ph: (931) 438-7064 |
| NPI Number | 1356705628 |
|---|---|
| Provider Enumeration Date | 04/12/2016 |
| Last Update Date | 04/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356705628 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Colbert Family Densistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1813 Wilson Pkwy, Fayetteville, TN 37334 Phone: 931-433-5914 Fax: 931-433-7481 |