Ashby, John Ottis
Ashby, John Ottis is an individual health care provider with primary practice located at 4345 4 Bonney Road Suite 101, Virginia Beach VA 23452-1200. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Ashby, John Ottis can be contacted via phone (757) 340-7000.Contact Information
Primary practice address
4345 4 Bonney Road Suite 101
Virginia Beach VA 23452-1200
Phone: (757) 340-7000
Fax: (757) 498-6498
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 0401411276 | Virginia |
Profile Details
| NPI number | 1508952946 |
|---|---|
| LBN Legal business name | Ashby, John Ottis |
| Credentials | DDS MS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508952946 | NPPES |
| Virginia | MEDICAID | 9181657 | |
| Virginia | Other | 1695363 |
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