Provider Demographics
NPI:1588746960
Name:OTT, GORDON YEE (DMD)
Entity type:Individual
Prefix:DR
First Name:GORDON
Middle Name:YEE
Last Name:OTT
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9370 MCKNIGHT RD
Mailing Address - Street 2:SUITE 402
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-5953
Mailing Address - Country:US
Mailing Address - Phone:412-367-1808
Mailing Address - Fax:412-367-0902
Practice Address - Street 1:9370 MCKNIGHT RD
Practice Address - Street 2:SUITE 402
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-5953
Practice Address - Country:US
Practice Address - Phone:412-367-1808
Practice Address - Fax:412-367-0902
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS028377L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice