Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BLAIR GREGORY OTA, DDS, MD
Active Sole ProprietorDR. BLAIR GREGORY OTA, DDS, MD is a Orthodontics & Dentofacial Orthopedics healthcare provider located in IRVINE, California. NPI 1366516023 is currently active in the NPPES registry. Verify at CMS.
Orthodontics & Dentofacial Orthopedics · IRVINE, CA
Registration Details
- NPI Number
- 1366516023
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 17, 2006 (19.734202104491 yrs)
- Last Updated
- Jul 9, 2007
- License
-
24159 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4980 BARRANCA PKWY STE 190IRVINE, CA, 926048652Browse CA providers · Browse ZIP 92604
- Phone
- 9494539797
- Fax
- 9498722468
- Primary Specialty
-
Orthodontics & Dentofacial Orthopedics
1223P0106X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.