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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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