Organization
DAVID H. OTIS, D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID H OTIS DDS (DENTIST)
(423) 396-3154
Entity
Organization
Contact information
Practice address
4957 SWINYAR DR STE 107, OOLTEWAH, TN 37363-2205
(423) 396-3154
(423) 396-3156
Mailing address
4957 SWINYAR DR STE 107, OOLTEWAH, TN 37363-2205
(423) 396-3154
(423) 396-3156
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/25/2019
Last updated
02/25/2019
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