Basel Otoom, is a 
Dentist based in West Tisbury, Massachusetts. Basel Otoom is licensed to practice in Massachusetts (license number DL15170) and his current practice location is 
20 Indian Hill Road, West Tisbury, Massachusetts. He can be reached at his office (for appointments etc.) via phone at 
(508) 338-7170.
NPI number for Basel Otoom is 1437893245 and his current mailing address is 77 Hospital Ave, North Adams, Massachusetts. He 
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1437893245.
				
				
				
				
				
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Basel Otoom | 
|---|
| Gender | Male | 
|---|
| Speciality | Dentist | 
|---|
| Location | 20 Indian Hill Road, West Tisbury, Massachusetts | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
			
			 
			
						  NPI Data:
			
			- NPI Number: 1437893245
 - Provider Enumeration Date: 04/27/2022
 - Last Update Date: 04/27/2022
 			
			
			 
		 
		 
Medical Identifiers
		Medical identifiers for Basel Otoom such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
		| 1437893245 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
		| 122300000X | Dentist  | DL15170 (Massachusetts) | Primary | 
		
		
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Basel Otoom is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
		Basel Otoom, 77 Hospital Ave, North Adams, MA 01247-2550 Ph: (617) 697-0545 | Basel Otoom, 20 Indian Hill Road, West Tisbury, MA 02575 Ph: (508) 338-7170 | 
		
		 
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