Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1861577231 Individual Practitioner Male Practitioner

Dr. David Bruce Otis , DDS

Dentist - General Practice • Ishpeming, MI

Professional Overview & Biography Verified Profile Summary

Dr. David Otis, DDS is a registered healthcare professional specializing in Dentist - General Practice in Ishpeming, MI. Practice services are available at 125 N PANSY STREET under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

125 N Pansy Street

Ishpeming, MI 498493015

Telephone 9064855575
Fax 9064851260
Associated Practice Facility / Clinic
🏢 Widcorp Pc Facility NPI 1073698445

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Ishpeming, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.8 Yrs
Regional Practice Density
6 Specialists

Practicing in Ishpeming, MI (4360 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 MI 2901016005

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
4616262 (MI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Dr. James Frounfelter , DDS

Dentist - General Practice

NPI 1083799456

Doctor of Dental Surgery

Dr. Joseph Heidelberger , DDS

Dentist - General Practice

NPI 1093894818

Doctor of Dental Surgery

Dr. Jean Farbod , DDS

Dentist - General Practice

NPI 1205147683

Doctor of Dental Surgery

NPI 1487224630

Doctor of Dental Surgery

Dr. Abigail Johnstone , DDS

Dentist - General Practice

NPI 1538845243

Doctor of Dental Surgery

Dr. Brian Anderson , DDS

Dentist - General Practice

NPI 1982831749

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 125 N PANSY STREET, ISHPEMING, MI 498493015 (Tel: 9064855575)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1000 ALLENEZ RD, MARQUETTE, MI 49855 (Tel: 9064855575)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as DAVID OTIS, DDS

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

Dentist (License #2901016005 in MI)

🟢
Initial NPI Registration & Enumeration October 26, 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: 1861577231
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 26, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

1000 Allenez Rd

Marquette, MI 49855

Phone: 9064855575

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.