Basel Otoom

Dentist · West Tisbury, MA

Individual Active NPI

NPI number 1437893245

Practice location

20 Indian Hill Road
West Tisbury, MA 02575

Phone: (508) 338-7170

Open in Google Maps

NPI record

NPI: 1437893245
Entity type: Individual (Type 1)
Enumeration date: April 27, 2022
Last updated: April 27, 2022
Certified: April 12, 2022
Sole proprietor: No

Specialties & taxonomy codes

Taxonomy	Code	License	State
Dentist Primary	`122300000X`	DL15170	MA

Mailing address

77 Hospital Ave
North Adams, MA 01247-2550

Phone: (617) 697-0545

About Basel Otoom

Basel Otoom is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 20 Indian Hill Road, West Tisbury, MA 02575. The NPI number 1437893245 was assigned on April 27, 2022 and the record was last updated on April 27, 2022.

Basel Otoom lists a license in the registry: #DL15170 (MA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Basel Otoom?

The NPI number is 1437893245.

What is the phone number of Basel Otoom?

The phone number listed for the practice location is (508) 338-7170.

Where is Basel Otoom located?

20 Indian Hill Road, West Tisbury, MA 02575.

What is the taxonomy code for Basel Otoom?

The primary taxonomy code is 122300000X – Dentist.

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.