Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Otsego Family Dental, PLLC

Organization General Practice Dentistry · NPI 1265301642

Otsego Family Dental, PLLC is a General Practice Dentistry in Otsego, Michigan. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

338 W Allegan St
Otsego, MI 49078-1012
Phone: (269) 694-2074
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1265301642
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ryan Himmel — Member · (269) 364-5137
NPI enumeratedNovember 3, 2025
Last updated in NPPESNovember 3, 2025
Certification dateNovember 3, 2025
Mailing address338 W Allegan St, Otsego, MI 49078-1012

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