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Contact Information

OTEGO FAMILY DENTAL P.C.
374 MAIN STREET
OTEGO, NY13825
 Phone: 607-988-6555
 Fax: 607-988-2761
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for OTEGO FAMILY DENTAL P.C.

NPI Number 1437466059
LBN Legal business name OTEGO FAMILY DENTAL P.C.
Authorized official KATHY KNOX - (PRESIDENT/OWNER/DENTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 09/02/2010
Last updated 08/21/2018 - About 8 years ago
Identifiers
NY License # 051023
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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