Otis Riley Washington in Raleigh - Periodontics
Otis Riley Washington - NPI 1770640732
Otis Riley Washington is a Periodontics in Raleigh, North Carolina. Otis Riley Washington practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Otis Riley Washington is 1770640732. The last update date is 2007-07-08.
Otis Riley Washington's current location address is 2310 Myron Dr, Raleigh, North Carolina. You can contact this provider via phone number 9197829536 and fax number 9197829962. The mailing address for Otis Riley Washington is 2310 Myron Dr, Raleigh, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Otis Riley Washington |
|---|---|
| Address | 2310 Myron Dr, Raleigh, North Carolina |
| Phone Number | 9197829536 |
| Fax Number | 9197829962 |
| Sole Proprietor | Y |
| Credentials | D.D.S.,M.S |
NPI Number Detail
| NPI Number | 1770640732 |
|---|---|
| Provider Enumeration Date | 2007-01-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2310 Myron Dr |
|---|---|
| City | Raleigh |
| State | North Carolina (NC) |
| Post Code | 276073358 |
| Phone Number | 9197829536 |
| Fax Number | 9197829962 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 5884 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Otis Riley Washington by the Centers for Medicare & Medicaid Services?
The Otis Riley Washington has been assigned the NPI (National Provider Identifier) 1770640732 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Otis Riley Washington?
The Otis Riley Washington is situated at 2310 Myron Dr, in the city of Raleigh, state of NC, with the zip code 276073358.
What is Otis Riley Washington's area of expertise and its corresponding taxonomy classification?
The Otis Riley Washington's field of specialization is Periodontics, and it falls under the taxonomy code 1223P0300X, which categorizes healthcare providers based on their areas of practice.
On what date did the Otis Riley Washington receive the assignment of its 1770640732 from the Centers for Medicare & Medicaid Services?
The Otis Riley Washington was issued its 1770640732 by the Centers for Medicare & Medicaid Services on 2007-01-02.
As of what date was the information pertaining to Otis Riley Washington, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Otis Riley Washington, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.