Provider Demographics
NPI:1932476348
Name:OAKES-LOTTRIDGE, DENISE (DMD)
Entity Type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:
Last Name:OAKES-LOTTRIDGE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 S LOOP BLVD
Mailing Address - Street 2:
Mailing Address - City:LEHIGH ACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33936-6028
Mailing Address - Country:US
Mailing Address - Phone:239-369-5897
Mailing Address - Fax:239-369-7917
Practice Address - Street 1:1001 S LOOP BLVD
Practice Address - Street 2:
Practice Address - City:LEHIGH ACRES
Practice Address - State:FL
Practice Address - Zip Code:33936-6028
Practice Address - Country:US
Practice Address - Phone:239-369-5897
Practice Address - Fax:239-369-7917
Is Sole Proprietor?:No
Enumeration Date:2011-11-30
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN14639122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist