Lisa Rae Otoude, DMD

General Practice Dentistry · Denver, NC

Individual Active NPI

NPI number 1124432349

Practice location

275 N NC 16 Business Hwy Ste 204b
Denver, NC 28037-3000
Phone
(704) 275-5556

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NPI record

NPI
1124432349
Entity type
Individual (Type 1)
Enumeration date
June 16, 2014
Last updated
June 17, 2024
Certified
June 17, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 32631 TX
General Practice Dentistry 1223G0001X 10960 NC

Mailing address

14928 Nichols Hall Dr
Charlotte, NC 28273-7504
Phone
(919) 360-2353

Other practice locations (2)

  • 9055 Cresswind Blvd Ste 104, Charlotte, NC 28215-2272 · (704) 350-2152
  • 5708 N Sharon Amity Rd Ste 5708-A, Charlotte, NC 28215-5082 · (704) 350-2153

About Dr. Otoude

Lisa Rae Otoude, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 275 N NC 16 Business Hwy Ste 204b, Denver, NC 28037-3000. The NPI number 1124432349 was assigned on June 16, 2014 and the record was last updated on June 17, 2024.

Dr. Otoude lists 2 licenses in the registry: #32631 (TX) for General Practice Dentistry; #10960 (NC) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Lisa Rae Otoude, DMD?

The NPI number is 1124432349.

What is the phone number of Dr. Otoude?

The phone number listed for the practice location is (704) 275-5556.

Where is Dr. Otoude located?

275 N NC 16 Business Hwy Ste 204b, Denver, NC 28037-3000.

What is the taxonomy code for Dr. Otoude?

The primary taxonomy code is 1223G0001X – General Practice Dentistry; 1 more listed above.

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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