Otten, Justin Edward
Otten, Justin Edward is an sole proprietor health care provider with primary practice located at 2255 Lee St Sw , Wyoming MI 49519-1670. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Otten, Justin Edward can be contacted via phone (616) 532-0501.Contact Information
Primary practice address
2255 Lee St Sw
Wyoming MI 49519-1670
Phone: (616) 532-0501
Fax: (616) 532-0501
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | 2901012543 | Michigan |
Profile Details
NPI number | 1659419273 |
---|---|
LBN Legal business name | Otten, Justin Edward |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 3rd, 2007 |
Last updated | Jul 8th, 2007 - about 17 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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