David Harold Otis in Ooltewah - General Practice
David Harold Otis - NPI 1871639351
David Harold Otis is a General Practice in Ooltewah, Tennessee. David Harold Otis practices all healthcare services and medical treatments related to General Practice. The NPI Number for David Harold Otis is 1871639351. The last update date is 2015-04-22.
David Harold Otis's current location address is 4957 Swinyar Dr, Ooltewah, Tennessee. You can contact this provider via phone number 4233963154 and fax number 4233963156. The mailing address for David Harold Otis is 4957 Swinyar Dr, Ooltewah, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Harold Otis |
|---|---|
| Address | 4957 Swinyar Dr, Ooltewah, Tennessee |
| Phone Number | 4233963154 |
| Fax Number | 4233963156 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1871639351 |
|---|---|
| Provider Enumeration Date | 2007-01-30 |
| Last Updated Date | 2015-04-22 |
Provider Mailing Address Detail
| Address | 4957 Swinyar Dr |
|---|---|
| City | Ooltewah |
| State | Tennessee (TN) |
| Post Code | 373632204 |
| Phone Number | 4233963154 |
| Fax Number | 4233963156 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | TN 8425 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the David Harold Otis's unique identification number?
The David Harold Otis has been assigned the NPI (National Provider Identifier) Number 1871639351 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where David Harold Otis is physically located?
The David Harold Otis is situated at the following address: 4957 Swinyar Dr, Ooltewah, TN 373632204.
What is David Harold Otis's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for David Harold Otis is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.
On what date did David Harold Otis receive its 1871639351 assignment from the Centers for Medicare & Medicaid Services?
The David Harold Otis was assigned its 1871639351 on 2007-01-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to David Harold Otis most recently updated or revised?
The details related to David Harold Otis, including its address, specialty, and other relevant information, were last updated or revised on 2015-04-22.