NPI 1528673365

Ottertail Dental

Organisation General Practice Dentistry Fergus Falls, MN

Practice location

Address: 1409 College Way, Fergus Falls, MN 56537-1055
Phone: (218) 739-3245
Fax: (218) 739-5626

Authorised official

Name: Sonja Ann Johnson
Title: Business Manager
Phone: (218) 739-3245

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X

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Registry record

NPI: 1528673365
Entity type: Organization
NPI issued: 9 Sep 2020
Record last updated: 9 Sep 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.