Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BASEL OTOOM
ActiveDentist · WEST TISBURY, MA
Registration Details
- NPI Number
- 1437893245
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 27, 2022 (4.0249058760926 yrs)
- Last Updated
- Apr 27, 2022
- License
-
DL15170 (MA)
Practice Information
- Address
-
20 INDIAN HILL ROADWEST TISBURY, MA, 02575Browse MA providers · Browse ZIP 02575
- Phone
- 5083387170
- Primary Specialty
-
Dentist
122300000X
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.