Dr Mario J Olivotto, DDS - Dentist in San Diego, CA

Dr Mario J Olivotto, DDS is a Dentist - General Practice based in San Diego, California. Dr Mario J Olivotto is licensed to practice in California (license number 61568) and his current practice location is 9855 Erma Rd, Suite 103, San Diego, California. He can be reached at his office (for appointments etc.) via phone at (858) 578-0120.

NPI number for Dr Mario J Olivotto is 1104164888 and his current mailing address is 15996 Turtleback Rd, San Diego, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104164888.

Contact Information

Dr Mario J Olivotto, DDS
9855 Erma Rd, Suite 103,
San Diego, CA 92131-3001
(858) 578-0120
Not Available



Healthcare Provider's Profile

Full NameDr Mario J Olivotto
GenderMale
SpecialityDentist - General Practice
Location9855 Erma Rd, San Diego, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1104164888
  • Provider Enumeration Date: 01/30/2013
  • Last Update Date: 01/30/2013

Medical Identifiers

Medical identifiers for Dr Mario J Olivotto such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104164888NPI-NPPES
61568OtherCACA DENTAL LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 61568 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mario J Olivotto is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Mario J Olivotto, DDS
15996 Turtleback Rd,
San Diego, CA 92127-2031

Ph: (310) 490-8046
Dr Mario J Olivotto, DDS
9855 Erma Rd, Suite 103,
San Diego, CA 92131-3001

Ph: (858) 578-0120

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