- Practice location
- 20 Indian Hill Road, West Tisbury, MA 02575
- Phone
- 508-338-7170
- Fax
- —
- Last updated
- April 27, 2022
Basel Otoom is a Dentist based in West Tisbury, MA. Basel Otoom practices in West Tisbury, MA. The NPI Number for Basel Otoom is 1437893245 and holds a License No. DL15170 (MA). The current practice location address for Basel Otoom is 20 Indian Hill Road, West Tisbury, MA 02575 and can be reached out via phone at 508-338-7170.
Provider Profile Details
- NPI Number
- 1437893245
- Provider Name
- Basel Otoom
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 20 Indian Hill Road, West Tisbury, MA 02575
- Phone Number
- 508-338-7170
- Primary Taxonomy
- Dentist · 122300000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 27, 2022
- Last Update Date
- April 27, 2022
- Certification Date
- April 12, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 20 Indian Hill Road
West Tisbury, MA 02575 - City
- West Tisbury
- State
- Massachusetts
- Zip
- 02575
- Phone Number
- 508-338-7170
Provider Business Mailing Address Details
- Address
- 77 Hospital Ave
North Adams, MA 01247-2550 - City
- North Adams
- State
- MA
- Zip
- 01247-2550
- Phone Number
- 617-697-0545
License Information
- License Number
- DL15170
- License State
- MA
- Taxonomy
- Dentist · 122300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentists near West Tisbury, MA
View all Dentists in West Tisbury →Frequently Asked Questions
What is the NPI number of Basel Otoom?
The NPI number of Basel Otoom is 1437893245. It was assigned on April 27, 2022 and is currently active in the NPPES registry.
What is the specialty of Basel Otoom?
Basel Otoom is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number DL15170.
Where does Basel Otoom practice?
The practice location is 20 Indian Hill Road, West Tisbury, MA 02575. The office can be reached at 508-338-7170 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1437893245 directly on the NPPES registry website.