Ottley Family Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

OTTLEY FAMILY DENTAL PLLC

Practice address

309 Market St E
Fayetteville, TN 37334-3023

Phone

(931) 438-7064

Fax

(931) 438-7066

NPI assigned

Apr 12, 2016

Last updated

Apr 12, 2016By 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

Dr. Robert Brian Ottley, D.M.D.NPI 1992870687

Title

Dentist

Phone

(931) 438-7064

Specialties & licenses 1

Addresses

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.

• Robert B. Ottley, D.M.D.

  • General Practice Dentistry
  • Fayetteville, TN
  • NPI 1992870687
  Authorized official Same address or phone

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

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460419200000",
    "number": "1356705628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 MARKET ST E",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373343023",
            "telephone_number": "931-438-7064",
            "fax_number": "931-438-7066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 MARKET ST E",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373343023",
            "telephone_number": "931-438-7064",
            "fax_number": "931-438-7066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTTLEY FAMILY DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-12",
        "last_updated": "2016-04-12",
        "status": "A",
        "authorized_official_last_name": "OTTLEY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "931-438-7064",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Micah Quincey O'Dell
• Katie Odom, M.S.
• Janelle Odren, PA
• Rhonda Denise Ogburn
• Emilia Osuigwe
• Robert B. Ottley, D.M.D.
• P4 Physical Therapy - Fayetteville, LLC
• Stacey Starr Pace, MD
• Bennett Alexander Page
• Juliann Fears Paladino

• General Practice Dentistry in Fayetteville, TN
• Providers in Fayetteville, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; 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.