Individual
DR. ROBERT B. OTTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
309 MARKET ST E, FAYETTEVILLE, TN 37334-3023
(931) 438-7064
(931) 438-7066
Mailing address
912 DOGWOOD DR, FAYETTEVILLE, TN 37334-2260
(931) 438-9803
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8444
TN
Other
Enumeration date
11/21/2006
Last updated
07/08/2007
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