Dr. Louis J. Ortmann Dental Group INC

NPI #1306092077 in Festus, Missouri

Provider Information

NPI Number: 1306092077
Entity Type: Organization
Organization Name: Dr. Louis J. Ortmann Dental Group INC
Primary Specialty: Dentist
Enumeration Date: Aug 14, 2008
Last Updated: Aug 14, 2008

Practice Location

Address: 1121 W. GANNON DR.
City: Festus
State: Missouri
ZIP Code: 63028
Phone: (636) 931-6870

Authorized Official

Name: DR. GERARD PATRICK NIKODEM, DDS
Title: PRESIDENT
Phone: (636) 931-6870

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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