IndividualActive
Francis Otradovec, DDS
NPI 1851409460 · Periodontics · Columbia, MO
Provider details
- NPI number
- 1851409460
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 011967 (MO)
Specialties & taxonomies
Dental Providers
Practice location
201 W Broadway
Bldg 5
Columbia, MO 65203-3842
Phone: (573) 443-0593
Approximate (ZIP-level) locationGet directions
Mailing address
201 W Broadway
Columbia, MO 65203-3842
Registry dates
- Enumerated
- 2006-08-25
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.