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NPI 1316087828

IndividualActive

John Ottesen, DDS

NPI 1316087828 · Dentist · Manchester Center, VT

Provider details

NPI number: 1316087828
Entity type: Individual
Primary specialty: DentistDental Providers
Credential: DDS
Sex: Male
Sole proprietor: No
License: 016.0086821 (VT)

Practice location

74 Longview Drive

Manchester Center, VT 05255

Phone: (315) 761-5366

More VT providers

Mailing address

Po Box 316

Manchester, VT 05254-0316

Registry dates

Enumerated: 2007-02-07
Last updated: 2012-11-05

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

John Ottesen, DDS — NPI 1316087828, Manchester Center, VT | NPI Central