Otter Dental

Primary specialty

DentistTaxonomy code 122300000X

License

1348 Issued in AK

Legal business name

OTTER DENTAL

Practice address

1919 Lathrop St
Suite 211
Fairbanks, AK 99701-5937

Phone

(907) 452-7007

NPI assigned

Oct 20, 2016

Organization subpart

No

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

Authorized official

Name

Erich Christoffer Ott, DMD

Title

Owner

Phone

(907) 452-7007

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553212800000",
    "number": "1992256341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 LATHROP ST",
            "address_2": "SUITE 211",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997015937",
            "telephone_number": "907-452-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 LATHROP ST",
            "address_2": "SUITE 211",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997015937",
            "telephone_number": "907-452-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTTER DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-20",
        "last_updated": "2019-03-22",
        "status": "A",
        "authorized_official_last_name": "OTT",
        "authorized_official_first_name": "ERICH",
        "authorized_official_middle_name": "CHRISTOFFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-452-7007",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AK",
            "license": "1348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colton Osowski
• Jamie L Osowski
• Jordan Osowski
• Deborah Ann Otis, M.A., C.D.C.I
• Erich Christoffer Ott, DMD
• Jamie Oudekerk
• Brahim Ouhamoulahcen
• Kaley Renae Overbey
• James Overstreet
• Pacific Rim Counseling, Inc.

• Dentist in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Dentist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2019; 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.