Provider Demographics
NPI:1588667927
Name:HELMER, OTICE Z (DDS)
Entity Type:Individual
Prefix:DR
First Name:OTICE
Middle Name:Z
Last Name:HELMER
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 1:2951 OAK PARK CIR
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76109-1893
Mailing Address - Country:US
Mailing Address - Phone:817-924-1111
Mailing Address - Fax:817-924-2888
Practice Address - Street 1:2951 OAK PARK CIR
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76109-1893
Practice Address - Country:US
Practice Address - Phone:817-924-1111
Practice Address - Fax:817-924-2888
Is Sole Proprietor?:No
Enumeration Date:2005-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX92201223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice