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Dr. Jerome C Ottley Jr., D.D.S.

Dentist, General Practice in Milton, FL. Individual provider (NPI-1).

NPI number1295896793
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1295896793
Entity type
Individual (NPI-1)
Name
Dr. Jerome C Ottley Jr.
Credential
D.D.S.
Sex
Male
Sole proprietor
No
Enumeration date
Dec 12, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice5837FLYes

Practice location

5908 Berryhill Rd
Milton, FL 32570-8294

Phone 850-623-0137

Mailing address

5908 Berryhill Rd
Milton, FL 32570-8294

Phone 850-623-0137

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