| Pamela Ottesen Dmd Llc | |
|
1536 John Sims Pkwy Niceville FL 32578 | |
| (850) 582-1009 | |
| Not Available |
| Full Name | Pamela Ottesen Dmd Llc |
|---|---|
| Speciality | Dentist |
| Location | 1536 John Sims Pkwy, Niceville, Florida |
| Authorized Official Name and Position | Pamela Ottesen (DENTIST) |
| Authorized Official Contact | 8505821009 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pamela Ottesen Dmd Llc 2030 Kildare Cir Niceville FL 32578-7308 Ph: (850) 582-1009 | Pamela Ottesen Dmd Llc 1536 John Sims Pkwy Niceville FL 32578 Ph: (850) 582-1009 |
| NPI Number | 1538586136 |
|---|---|
| Provider Enumeration Date | 03/21/2014 |
| Last Update Date | 02/15/2021 |
| Medicare PECOS PAC ID | 3173938750 |
|---|---|
| Medicare Enrollment ID | O20210211001910 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538586136 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
Okaloosa Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1386 E John Sims Parkway, Niceville, FL 32578 Phone: 850-389-4609 | |
Mid Bay Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4579 E Highway 20 Ste 210, Niceville, FL 32578 Phone: 850-897-4200 Fax: 850-897-4504 | |
Leah Thompson Gagnon, D.m.d, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4550 Highway 20 East, Suite C, Niceville, FL 32578 Phone: 850-897-1100 | |
Smileology Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4400 E Highway 20 Ste 101, Niceville, FL 32578 Phone: 850-897-4488 | |
Emerald Coast Periodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 719 Bayshore Drive, Niceville, FL 32578 Phone: 850-678-6485 | |
Harper Family Dentisty, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 908 Palm Blvd S, Niceville, FL 32578 Phone: 850-729-1223 | |
Patricia R. Francisco, D.m.d., M.ed. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 719 Bayshore Dr, Niceville, FL 32578 Phone: 850-678-6485 Fax: 850-678-5245 |