IndividualActive
David Otis, DDS
NPI 1861577231 · General Practice Dentistry · Ishpeming, MI
Provider details
- NPI number
- 1861577231
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 2901016005 (MI)
Specialties & taxonomies
Dental Providers
Practice location
125 N Pansy Street
Ishpeming, MI 49849-3015
Phone: (906) 485-5575
Fax: (906) 485-1260
Approximate (ZIP-level) locationGet directions
Mailing address
1000 Allenez Rd
Marquette, MI 49855
Registry dates
- Enumerated
- 2006-10-26
- 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.