DR. Anissa R Ottley, DMD

NPI #1013128867 in Milton, Florida

Provider Information

NPI Number: 1013128867
Entity Type: Individual
Name: DR. Anissa R Ottley, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: May 24, 2007
Last Updated: Apr 15, 2016

Practice Location

Address: 4272 AVALON BLVD
City: Milton
State: Florida
ZIP Code: 32583-2808
Phone: (850) 626-6100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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