| Otto W. Dohm, DDS, MS, PC | |
|
1142 W Capitol Ave Bismarck ND 58501-1306 | |
| (701) 222-8760 | |
| (701) 222-3162 |
| Full Name | Otto W. Dohm, DDS, MS, PC |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 1142 W Capitol Ave, Bismarck, North Dakota |
| Authorized Official Name and Position | Otto W Dohm (PRESIDENT) |
| Authorized Official Contact | 7012228760 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Otto W. Dohm, DDS, MS, PC 1142 W Capitol Ave Bismarck ND 58501-1306 Ph: (701) 222-8760 | Otto W. Dohm, DDS, MS, PC 1142 W Capitol Ave Bismarck ND 58501-1306 Ph: (701) 222-8760 |
| NPI Number | 1376763839 |
|---|---|
| Provider Enumeration Date | 04/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376763839 | NPI | - | NPPES |
| 41031 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 1766 (North Dakota) | Primary |
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