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Organization
JOSEPH A. OTTERPOHL, DMD
Active
Organization
JOSEPH A. OTTERPOHL, DMD
Active
Parent organization
JOSEPH OTTERPOHL, DMD/AMY OTTERPOHL CONNOR DDS
Other names
Otterpohl Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
JOSEPH OTTERPOHL, DMD/AMY OTTERPOHL CONNOR DDS
Authorized official
DR. JOSEPH A. OTTERPOHL DMD (OWNER)
(615) 331-0402
Entity
Organization
Contact information
Practice address
5505 EDMONDSON PIKE, SUITE 201, NASHVILLE, TN 37211-5872
(615) 331-0402
(615) 832-5410
Mailing address
5505 EDMONDSON PIKE, SUITE 201, NASHVILLE, TN 37211-5872
(615) 331-0402
(615) 832-5410
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS3687
KY
1223G0001X
General Practice Dentistry
DS9497
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619232881
NPI
TN
01
—
1881789568
NPI
TN
Enumeration date
08/15/2012
Last updated
08/15/2012
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