Provider Demographics
NPI:1326556804
Name:BARTHOLOMEW L HOTT DDS INC
Entity Type:Organization
Organization Name:BARTHOLOMEW L HOTT DDS INC
Other - Org Name:BLUFFTON DENTAL SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:D
Authorized Official - Last Name:STOUT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:260-824-3162
Mailing Address - Street 1:317 W MARKET ST
Mailing Address - Street 2:
Mailing Address - City:BLUFFTON
Mailing Address - State:IN
Mailing Address - Zip Code:46714-1936
Mailing Address - Country:US
Mailing Address - Phone:260-824-3162
Mailing Address - Fax:260-824-8101
Practice Address - Street 1:317 W MARKET ST
Practice Address - Street 2:
Practice Address - City:BLUFFTON
Practice Address - State:IN
Practice Address - Zip Code:46714-1936
Practice Address - Country:US
Practice Address - Phone:260-824-3162
Practice Address - Fax:260-824-8101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-18
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200913480AMedicaid