Bryan J. Otis, DDS

General Practice Dentistry · Ooltewah, TN

Individual Active NPI

NPI number 1659894343

Practice location

4957 Swinyar Dr
Ooltewah, TN 37363-2204
Phone
(423) 396-3154
Fax
(423) 396-3154

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NPI record

NPI
1659894343
Entity type
Individual (Type 1)
Enumeration date
July 25, 2017
Last updated
July 25, 2017
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 10597 TN

About Dr. Otis

Bryan J. Otis, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 4957 Swinyar Dr, Ooltewah, TN 37363-2204. The NPI number 1659894343 was assigned on July 25, 2017 and the record was last updated on July 25, 2017.

Dr. Otis lists a license in the registry: #10597 (TN) 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 Bryan J. Otis, DDS?

The NPI number is 1659894343.

What is the phone number of Dr. Otis?

The phone number listed for the practice location is (423) 396-3154.

Where is Dr. Otis located?

4957 Swinyar Dr, Ooltewah, TN 37363-2204.

What is the taxonomy code for Dr. Otis?

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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