Slater, Otto W

Slater, Otto W is an sole proprietor health care provider with primary practice located at 205 Southdowne Dr , Maryville TN 37801-3747. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Slater, Otto W can be contacted via phone (865) 381-8867.

Contact Information

Primary practice address
205 Southdowne Dr Maryville TN 37801-3747
Phone: (865) 381-8867
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 7722 Tennessee

Profile Details

NPI number 1427031947
LBN Legal business name Slater, Otto W
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2005
Last updated Mar 30th, 2020 - about 4 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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