Dohm, Otto William

Dohm, Otto William is an individual health care provider with primary practice located at 1142 W Capitol Ave , Bismarck ND 58501-1306. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Dohm, Otto William can be contacted via phone (702) 222-8760.

Contact Information

Primary practice address
1142 W Capitol Ave Bismarck ND 58501-1306
Phone: (702) 222-8760
Fax: (701) 222-3162
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 1766 North Dakota

Profile Details

NPI number 1619193919
LBN Legal business name Dohm, Otto William
Credentials DDS,MS
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619193919 NPPES
North Dakota Other 901766 DSC IDENTIFIER
North Dakota MEDICAID 41031 DSC IDENTIFIER

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