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Deactivated NPI 1093882979 Deactivated / Inactive NPI Male Practitioner

Dr. David John Ottilie , DDS

Dentist - General Practice • Evansville, IN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. David Ottilie has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 29, 2006
NPI Deactivation Date March 07, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. David Ottilie, DDS was a registered Dentist - General Practice practicing in Evansville, IN. Throughout an active medical career spanning 12 years, Dr. Ottilie provided care at the practice location at 4444 W LLOYD EXPRESSWAY until profile deactivation on 2018-03-07.

Practice Location & Contact Primary Location

Practice Address

4444 W Lloyd Expressway

Evansville, IN 47712

Telephone 8124218281
Fax 8124218266

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Evansville, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
73 Specialists

Practicing in Evansville, IN (2204 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IN 8013

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 07, 2018

Record deactivated on March 07, 2018

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 4444 W LLOYD EXPRESSWAY, EVANSVILLE, IN 47712 (Tel: 8124218281)

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Updated Business Mailing Address July 08, 2007

Registered at 4444 W LLOYD EXPRESSWAY, EVANSVILLE, IN 47712 (Tel: 8124218281)

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Provider Name / Credentials Updated July 08, 2007

Recorded as DAVID OTTILIE, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #8013 in IN)

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Initial NPI Registration & Enumeration November 29, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1093882979
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 29, 2006
Last Update: July 08, 2007
Deactivation Date: March 07, 2018

Mailing Address

4444 W Lloyd Expressway

Evansville, IN 47712

Phone: 8124218281

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.