Individual
DR. OTTO W SLATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
205 SOUTHDOWNE DR, MARYVILLE, TN 37801-3747
(865) 381-8867
Mailing address
205 SOUTHDOWNE DR, MARYVILLE, TN 37801-3747
(865) 381-8867
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
7722
TN
Other
Enumeration date
11/29/2005
Last updated
03/30/2020
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