Otto W. Dohm, Dds, Ms, Pc in Bismarck - Periodontics
Otto W. Dohm, Dds, Ms, Pc - NPI 1376763839
Otto W. Dohm, Dds, Ms, Pc is a Periodontics in Bismarck, North Dakota. Otto W. Dohm, Dds, Ms, Pc practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Otto W. Dohm, Dds, Ms, Pc is 1376763839. The last update date is 2020-08-22.
Otto W. Dohm, Dds, Ms, Pc's current location address is 1142 W Capitol Ave, Bismarck, North Dakota. You can contact this provider via phone number 7012228760 and fax number 7012223162. The mailing address for Otto W. Dohm, Dds, Ms, Pc is 1142 W Capitol Ave, Bismarck, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Otto W. Dohm, Dds, Ms, Pc |
|---|---|
| Address | 1142 W Capitol Ave, Bismarck, North Dakota |
| Phone Number | 7012228760 |
| Fax Number | 7012223162 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Dohm W Otto |
| Credentials | DDS, MS |
| Telephone Number | 7012228760 |
NPI Number Detail
| NPI Number | 1376763839 |
|---|---|
| Provider Enumeration Date | 2007-04-26 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1142 W Capitol Ave |
|---|---|
| City | Bismarck |
| State | North Dakota (ND) |
| Post Code | 585011306 |
| Phone Number | 7012228760 |
| Fax Number | 7012223162 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 1766 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 41031 | ND | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Otto W. Dohm, Dds, Ms, Pc by the Centers for Medicare & Medicaid Services (CMS)?
The Otto W. Dohm, Dds, Ms, Pc has been assigned the NPI (National Provider Identifier) 1376763839. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Otto W. Dohm, Dds, Ms, Pc?
The Otto W. Dohm, Dds, Ms, Pc is physically situated at 1142 W Capitol Ave, in the city of Bismarck, state of ND, with the postal code 585011306.
What is Otto W. Dohm, Dds, Ms, Pc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Otto W. Dohm, Dds, Ms, Pc's specialized field of practice is Periodontics, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0300X.
On what date did the Centers for Medicare & Medicaid Services assign the 1376763839 to Otto W. Dohm, Dds, Ms, Pc?
The Centers for Medicare & Medicaid Services assigned the 1376763839 to Otto W. Dohm, Dds, Ms, Pc on 2007-04-26.
As of what date were the details related to Otto W. Dohm, Dds, Ms, Pc most recently updated or revised?
The information pertaining to Otto W. Dohm, Dds, Ms, Pc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.