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Individual

DR. MICHAEL R COTTAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS, DMD

Contact information

Practice address
200 PORTLAND ST, COLUMBIA, MO 65201-6525
(844) 853-8937
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(844) 853-8937

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
8296939-9923
UT
1223P0221X
Pediatric Dentistry
Primary
2023019325
MO

Other

Enumeration date
07/16/2010
Last updated
05/15/2025
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