Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RANDAL DUANE OTIS, DMD
Active Sole ProprietorDR. RANDAL DUANE OTIS, DMD is a Dentist healthcare provider located in KANSAS CITY, Missouri. NPI 1629683925 is currently active in the NPPES registry. Verify at CMS.
Dentist · KANSAS CITY, MO
Registration Details
- NPI Number
- 1629683925
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 14, 2020 (5.9120304476537 yrs)
- Last Updated
- Jun 15, 2021
- Licenses
-
DN016113 (GA)2021010442 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
650 E 25TH STKANSAS CITY, MO, 641082716Browse MO providers · Browse ZIP 64108
- Phone
- 8162352177
- Primary Specialty
-
Dentist
122300000X
- Additional Specialty
- Dentist
Other Dentist Providers in KANSAS CITY, MO
| Name | Credential | NPI |
|---|---|---|
| MERLE ALLAN NUNEMAKER | DDS | 1457354102 |
| STEVEN LEMIEUX | DDS | 1518959345 |
| WILLIAM J LAMANNO | D.D.S. | 1528055803 |
| DR. FRANK NORMAN VARON | D.D.S. | 1205824695 |
| DR. JAMES ROBERT MOBLEY | DDS | 1760464986 |
| MR. CHRISTOPHER FREDOLIN WICK | DDS | 1760469266 |
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.