| Otto And Kotecki Family Dentistry Plc | |
|
3223 4th St Sw Mason City IA 50401-1583 | |
| (641) 424-6461 | |
| (641) 424-9186 |
| Full Name | Otto And Kotecki Family Dentistry Plc |
|---|---|
| Speciality | Dentist |
| Location | 3223 4th St Sw, Mason City, Iowa |
| Authorized Official Name and Position | Jeralyn G. Huisman (PRACTICE COORDINATOR) |
| Authorized Official Contact | 6414246461 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Otto And Kotecki Family Dentistry Plc 3223 4th St Sw Mason City IA 50401-1583 Ph: (641) 424-6461 | Otto And Kotecki Family Dentistry Plc 3223 4th St Sw Mason City IA 50401-1583 Ph: (641) 424-6461 |
| NPI Number | 1437244480 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 06/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437244480 | NPI | - | NPPES |
| 0212191 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
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