Otterstedt, Kenneth J
Otterstedt, Kenneth J is an individual health care provider with primary practice located at 9480 Briar Village Pt Suite 301, Colorado Springs CO 80920-7922. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Otterstedt, Kenneth J can be contacted via phone (719) 522-0123.Contact Information
Primary practice address
9480 Briar Village Pt Suite 301
Colorado Springs CO 80920-7922
Phone: (719) 522-0123
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | DEN.00202290 | Colorado |
Profile Details
| NPI number | 1699821181 |
|---|---|
| LBN Legal business name | Otterstedt, Kenneth J |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2007 |
| Last updated | Jun 2nd, 2016 - about 9 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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