Joseph Balzer Otto, DDS

Dentist · Ponca City, OK

Individual Active NPI

NPI number 1710064910

Practice location

400 Fairview Suite 1
Ponca City, OK 74601-1910
Phone
(580) 765-6633
Fax
(580) 765-0803

Open in Google Maps

NPI record

NPI
1710064910
Entity type
Individual (Type 1)
Enumeration date
November 1, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 4550 OK

About Dr. Otto

Joseph Balzer Otto, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 400 Fairview Suite 1, Ponca City, OK 74601-1910. The NPI number 1710064910 was assigned on November 1, 2006 and the record was last updated on July 8, 2007.

Dr. Otto lists a license in the registry: #4550 (OK) 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 Joseph Balzer Otto, DDS?

The NPI number is 1710064910.

What is the phone number of Dr. Otto?

The phone number listed for the practice location is (580) 765-6633.

Where is Dr. Otto located?

400 Fairview Suite 1, Ponca City, OK 74601-1910.

What is the taxonomy code for Dr. Otto?

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.

Other Dentist providers in Ponca City

All Dentist providers in Ponca City, OK →