Paul Edwin Otto, DDS

General Practice Dentistry · Mount Clemens, MI

Individual Active NPI

NPI number 1275547846

Practice location

233 Southbound Gratiot
Mount Clemens, MI 48043-2413
Phone
(586) 465-6503
Fax
(586) 465-6504

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NPI record

NPI
1275547846
Entity type
Individual (Type 1)
Enumeration date
July 28, 2006
Last updated
September 14, 2009
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 2901010523 MI

About Dr. Otto

Paul Edwin Otto, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 233 Southbound Gratiot, Mount Clemens, MI 48043-2413. The NPI number 1275547846 was assigned on July 28, 2006 and the record was last updated on September 14, 2009.

Dr. Otto lists a license in the registry: #2901010523 (MI) 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 Paul Edwin Otto, DDS?

The NPI number is 1275547846.

What is the phone number of Dr. Otto?

The phone number listed for the practice location is (586) 465-6503.

Where is Dr. Otto located?

233 Southbound Gratiot, Mount Clemens, MI 48043-2413.

What is the taxonomy code for Dr. Otto?

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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