Chandler Laser & Cosmetic Dentistry LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CHANDLER LASER & COSMETIC DENTISTRY LLC

Doing business as

Otteson Family and Cosmetic Dentistry

Practice address

801 W Elliot Rd
Chandler, AZ 85225-1885

Phone

(480) 899-6229

NPI assigned

Oct 14, 2024

Last updated

Oct 14, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Bella Zaritsky

Title

Director

Phone

(480) 482-1070

Specialties & licenses 1

Addresses

Other names 1

• Otteson Family and Cosmetic Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kevin H Otteson, DMD

  • General Practice Dentistry
  • Chandler, AZ
  • NPI 1306886122
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1728864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728864000000",
    "number": "1285454447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W ELLIOT RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852251885",
            "telephone_number": "480-899-6229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W ELLIOT RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852251885",
            "telephone_number": "480-899-6229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANDLER LASER & COSMETIC DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-14",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A",
        "authorized_official_last_name": "ZARITSKY",
        "authorized_official_first_name": "BELLA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "480-482-1070"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Otteson Family and Cosmetic Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chandler Medical PLLC (Backfit Health & Spine)
• Chandler Medical Supply, Inc.

• General Practice Dentistry in Chandler, AZ
• Providers in Chandler, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.