Otto, Michael D.

Otto, Michael D. is an individual health care provider with primary practice located at 3223 4Th St Sw , Mason City IA 50401-1583. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Otto, Michael D. can be contacted via phone (641) 424-6461.

Contact Information

Primary practice address
3223 4Th St Sw Mason City IA 50401-1583
Phone: (641) 424-6461
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 08229 Iowa

Profile Details

NPI number 1144342700
LBN Legal business name Otto, Michael D.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2007
Last updated Jul 9th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1144342700 NPPES
Iowa MEDICAID 0295303
Iowa MEDICAID 0212191

Popular Providers