# DAIKI A. OTSUKA, DDS, PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Parkside Dental Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083827257
- **Authorized official:** DR. ELAINE SUMIRE OTSUKA DMD (PRESIDENT)
- **Authorized official phone:** (201) 461-0130

## Contact information

- **Practice address:** 1617 PARKER AVE, FORT LEE, NJ 07024-6950
- **Practice address phone:** (201) 461-0130
- **Practice address fax:** (201) 461-8525
- **Mailing address:** 1617 PARKER AVE, FORT LEE, NJ 07024-6950
- **Mailing address phone:** (201) 461-0130
- **Mailing address fax:** (201) 461-8525

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 05/07/2007
- **Last updated:** 08/22/2020