IndividualActive
Otejiri Ohwovoriole
NPI 1063006153 · Dental Hygienist · Fort Leavenworth, KS
Provider details
- NPI number
- 1063006153
- Entity type
- Individual
- Primary specialty
- Dental HygienistDental Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 12699 (KS)
Specialties & taxonomies
Dental Providers
Practice location
520 Pope Ave
Fort Leavenworth, KS 66027-2332
Phone: (913) 684-5516
Approximate (ZIP-level) locationGet directions
Mailing address
741 Highland Dr
Leavenworth, KS 66048-4876
Registry dates
- Enumerated
- 2021-03-01
- Last updated
- 2021-03-01
- Certified
- 2021-03-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.