Organization
MICHAEL M. MOTT D.D.S., LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL MARTIN MOTT D.D.S. (OWNER)
(419) 399-3394
Entity
Organization
Contact information
Practice address
402 E BALDWIN AVE, PAULDING, OH 45879-1107
(419) 399-3394
Mailing address
PO BOX 359, PAULDING, OH 45879-0359
(419) 399-3394
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30017678
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0801725
—
OH
Enumeration date
07/17/2006
Last updated
08/22/2020
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