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FRANCIS J. OTRADOVEC DDS PC NPI 1124322581


NPI Information

NPI: 1124322581
Provider Name: FRANCIS J. OTRADOVEC, DDS PC
Classification: Dentist - 1223P0300X
Entity Type: Organization

Specialization: Periodontics

Address:
201 W BROADWAY
BLD 5
COLUMBIA, MO
ZIP 65203
Phone: (573) 443-0593
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FRANCIS J. OTRADOVEC, DDS PC is a periodontics dentist in Columbia, MO. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. FRANCIS J. OTRADOVEC, DDS PC NPI is 1124322581. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

201 W BROADWAY
BLD 5
COLUMBIA, MO
ZIP 65203-842
Phone: (573) 443-0593
Fax: (573) 443-3156

The provider's authorized official is Francis J. Otradovec .
The authorized official title is President and has the following contact phone number (573) 443-0593.

The enumeration date for this NPI number is 12/28/2010 and was last updated on 12/28/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0300XDentistPeriodontics011967MISSOURIYes

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: 4/28/2024

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