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DR. GREG BRIAN OTTO D.M.D. NPI 1629097308

NPI Profile

NPI: 1629097308

Provider Name: DR. GREG BRIAN OTTO, D.M.D.

Classification: Dentist - 1223G0001X

Entity Type: Individual

Specialization: General Practice

Address:
12711 SE MILL PLAIN BLVD
VANCOUVER, WA
ZIP 98684

Phone: (360) 896-4484

DR. Greg Brian Otto, D.M.D. is a general practice dentist in Vancouver, WA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Greg Brian Otto, D.M.D. NPI is 1629097308. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

12711 SE MILL PLAIN BLVD
VANCOUVER, WA
ZIP 98684-053
Phone: (360) 896-4484

The enumeration date for this NPI number is 7/19/2006 and was last updated on 7/8/2007.

Map - Location of Practice

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 1223G0001X Dentist General Practice 5466 WASHINGTON Yes

What is NPI?
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 7/13/2015