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Dr. Douglas Wade Otopalik, DDS
General Practice Dentistry in Mankato, Minnesota
NPI 1477537637

Douglas Wade Otopalik is a General Practice Dentistry based in Mankato, MN and is specialized in General Practice. Douglas Wade Otopalik practices in Mankato, MN and has the professional credentials of DDS. The NPI Number for Douglas Wade Otopalik is 1477537637 and holds a License No. 10057 (Minnesota).

The current practice location address for Douglas Wade Otopalik is 111 Star St, Mankato, MN and can be reached out via phone at 507-387-3249 and via fax at 507-387-7175.

Location: 111 Star St, Mankato, MN, 56001-8996
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477537637
Provider Name
Douglas Wade Otopalik
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
111 Star St, Mankato, MN, 56001-8996
Phone Number
507-387-3249
Fax Number
507-387-7175
Provider Enumeration Date
12/01/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
299220500 01 MN MEDICAL ASSISTANCE PROV #
institution
Provider Business Practice Location Address Details
Address
111 Star St
City
Mankato
State
Minnesota
Zip
56001-4888
Phone Number
507-387-3249
Fax Number
507-387-7175
person
Provider Business Mailing Address Details
Address
111 Star St
City
Mankato
State
Minnesota
Zip
56001-4888
Phone Number
507-387-3249
Fax Number
507-387-7175
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
10057 (Minnesota)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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