Otto F. Mares, D.D.S.

General Practice Dentistry · Du Quoin, IL

Individual Active NPI

NPI number 1003971847

Practice location

502 S Washington St
Du Quoin, IL 62832-1904
Phone
(618) 542-3032
Fax
(314) 667-5670

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NPI record

NPI
1003971847
Entity type
Individual (Type 1)
Enumeration date
December 22, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X — IL

About Dr. Mares

Otto F. Mares, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 502 S Washington St, Du Quoin, IL 62832-1904. The NPI number 1003971847 was assigned on December 22, 2006 and the record was last updated on July 8, 2007.

Frequently asked questions

What is the NPI number of Otto F. Mares, D.D.S.?

The NPI number is 1003971847.

What is the phone number of Dr. Mares?

The phone number listed for the practice location is (618) 542-3032.

Where is Dr. Mares located?

502 S Washington St, Du Quoin, IL 62832-1904.

What is the taxonomy code for Dr. Mares?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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