Individual
DR. SCOTT WILLIAM OTTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
12667815-8903
UT
1223E0200X
Endodontics
Primary
12667815-9922
UT
1223E0200X
Endodontics
D-5561-EN
ID
Other
Enumeration date
09/02/2016
Last updated
10/16/2023
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