Otto William Dohm in Bismarck - Periodontics
Otto William Dohm - NPI 1619193919
Otto William Dohm is a Periodontics in Bismarck, North Dakota. Otto William Dohm practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Otto William Dohm is 1619193919. The last update date is 2007-07-08.
Otto William Dohm's current location address is 1142 W Capitol Ave, Bismarck, North Dakota. You can contact this provider via phone number 7022228760 and fax number 7012223162. The mailing address for Otto William Dohm is 1142 W Capitol Ave, Bismarck, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Otto William Dohm |
|---|---|
| Address | 1142 W Capitol Ave, Bismarck, North Dakota |
| Phone Number | 7022228760 |
| Fax Number | 7012223162 |
| Sole Proprietor | N |
| Credentials | DDS,MS |
NPI Number Detail
| NPI Number | 1619193919 |
|---|---|
| Provider Enumeration Date | 2007-04-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1142 W Capitol Ave |
|---|---|
| City | Bismarck |
| State | North Dakota (ND) |
| Post Code | 585011306 |
| Phone Number | 7022228760 |
| 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 |
|---|---|---|---|
| 901766 | ND | DSC IDENTIFIER | |
| 41031 | ND | -- |
Post Comment/ Review Below
What is the Otto William Dohm's unique identification number?
The Otto William Dohm has been assigned the NPI (National Provider Identifier) Number 1619193919 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Otto William Dohm is physically located?
The Otto William Dohm is physically situated at the following address: 1142 W Capitol Ave, Bismarck, ND, 585011306.
What is Otto William Dohm's specialized field of practice, and what is the corresponding taxonomy classification code?
The Otto William Dohm's area of specialization is Periodontics, and the corresponding taxonomy code that categorizes this field of practice is 1223P0300X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1619193919 to Otto William Dohm?
The Centers for Medicare & Medicaid Services originally issued the 1619193919 to Otto William Dohm on 2007-04-17.
As of what date were the Otto William Dohm's details last updated?
The information pertaining to the Otto William Dohm, including its address, specialty, and other details, was most recently updated on 2007-07-08.