# DAVID H. OTIS, D.D.S.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881151991
- **Authorized official:** DR. DAVID H OTIS DDS (DENTIST)
- **Authorized official phone:** (423) 396-3154

## Contact information

- **Practice address:** 4957 SWINYAR DR STE 107, OOLTEWAH, TN 37363-2205
- **Practice address phone:** (423) 396-3154
- **Practice address fax:** (423) 396-3156
- **Mailing address:** 4957 SWINYAR DR STE 107, OOLTEWAH, TN 37363-2205
- **Mailing address phone:** (423) 396-3154
- **Mailing address fax:** (423) 396-3156

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/25/2019
- **Last updated:** 02/25/2019