Otto W. Dohm, Dds, Ms, Pc | |
1142 W Capitol Ave Bismarck ND 58501-1306 | |
(701) 222-8760 | |
(701) 222-3162 |
Full Name | Otto W. Dohm, Dds, Ms, Pc |
---|---|
Speciality | Dentist - Periodontics |
Location | 1142 W Capitol Ave, Bismarck, North Dakota |
Authorized Official Name and Position | Otto W Dohm (PRESIDENT) |
Authorized Official Contact | 7012228760 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Otto W. Dohm, Dds, Ms, Pc 1142 W Capitol Ave Bismarck ND 58501-1306 Ph: (701) 222-8760 | Otto W. Dohm, Dds, Ms, Pc 1142 W Capitol Ave Bismarck ND 58501-1306 Ph: (701) 222-8760 |
NPI Number | 1376763839 |
---|---|
Provider Enumeration Date | 04/26/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376763839 | NPI | - | NPPES |
41031 | Medicaid | ND |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0300X | Dentist - Periodontics | 1766 (North Dakota) | Primary |
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