# OTTO K. KLANOW D.D.S. P.C.

> 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
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962648246
- **Authorized official:** DR. OTTO KEVIN KLANOW D.D.S. M.S. (OWNER - PRESIDENT)
- **Authorized official phone:** (586) 979-4700

## Contact information

- **Practice address:** 38912 DEQUINDRE, STERLING HEIGHTS, MI 48310
- **Practice address phone:** (586) 979-4700
- **Practice address fax:** (586) 979-9452
- **Mailing address:** 38912 DEQUINDRE, STERLING HEIGHTS, MI 48310
- **Mailing address phone:** (586) 979-4700
- **Mailing address fax:** (586) 979-9452

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 2901011910 | MI | — |
| 1223P0700X | Prosthodontics | 2901011910 | MI | Yes |

## Other

- **Enumeration date:** 12/17/2008
- **Last updated:** 12/17/2008