# JOSEPH A. OTTERPOHL, DMD

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** JOSEPH OTTERPOHL, DMD/AMY OTTERPOHL CONNOR DDS
- **Other names:** Otterpohl Dental
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1043568595
- **Legal business name:** JOSEPH OTTERPOHL, DMD/AMY OTTERPOHL CONNOR DDS
- **Authorized official:** DR. JOSEPH A. OTTERPOHL DMD (OWNER)
- **Authorized official phone:** (615) 331-0402

## Contact information

- **Practice address:** 5505 EDMONDSON PIKE, SUITE 201, NASHVILLE, TN 37211-5872
- **Practice address phone:** (615) 331-0402
- **Practice address fax:** (615) 832-5410
- **Mailing address:** 5505 EDMONDSON PIKE, SUITE 201, NASHVILLE, TN 37211-5872
- **Mailing address phone:** (615) 331-0402
- **Mailing address fax:** (615) 832-5410

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DS3687 | KY | Yes |
| 1223G0001X | General Practice Dentistry | DS9497 | TN | — |

## Other

- **Enumeration date:** 08/15/2012
- **Last updated:** 08/15/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1619232881 | NPI | TN |
| 01 | — | 1881789568 | NPI | TN |