OTTO WILLIAM DOHM DDSMS NPI 1619193919

NPI Information

  • NPI: 1619193919
  • Provider Name: OTTO WILLIAM DOHM, DDS,MS
  • Classification: Dentist - 1223P0300X
  • Specialization: Periodontics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1142 W CAPITOL AVE
    BISMARCK, ND
    ZIP 58501
  • Phone: (702) 222-8760

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NPI Details

Otto William Dohm, DDS,MS is a periodontics dentist in Bismarck, ND. 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. Otto William Dohm, DDS,MS NPI is 1619193919. 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:

1142 W CAPITOL AVE
BISMARCK, ND
ZIP 58501-306
Phone: (702) 222-8760
Fax: (701) 222-3162

The NPI 1619193919 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 4/17/2007 and was last updated on 7/8/2007.

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
11223P0300XDentistPeriodontics1766NORTH DAKOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1901766OTHERNORTH DAKOTADSC IDENTIFIER
2N5082MEDICARE ID-TYPE UNSPECIFIEDNORTH DAKOTA
341031MEDICAIDNORTH DAKOTA

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: 11/21/2025

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