Provider Demographics
NPI:1194971036
Name:HOTT, BARTHOLOMEW LUKE (DDS)
Entity type:Individual
Prefix:DR
First Name:BARTHOLOMEW
Middle Name:LUKE
Last Name:HOTT
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7750 W 200 S
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:IN
Mailing Address - Zip Code:46571-9436
Mailing Address - Country:US
Mailing Address - Phone:260-768-7918
Mailing Address - Fax:260-768-7983
Practice Address - Street 1:7750 W 200 S
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:IN
Practice Address - Zip Code:46571-9436
Practice Address - Country:US
Practice Address - Phone:260-768-7918
Practice Address - Fax:260-768-7983
Is Sole Proprietor?:No
Enumeration Date:2008-08-12
Last Update Date:2008-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12011131A1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice