MEDICARE: MRS. LACI DELEE OTTO RDH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	124Q00000X	Dental Hygienist	14038	TX

General Provider Information

NPI Number	:	1396877551
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LACI DELEE OTTO RDH

Provider Business Mailing Address
First Line	:	300 EAST HWY 3040 APT #1733
Second Line	:
City	:	LEWISVILLE
State	:	TX
Zip	:	75067
Country	:	US
Telephone Number	:	940-465-1556
Fax Number	:

Provider Business Practice Location Address
First Line	:	120 S DENTON TAP RD
Second Line	:
City	:	COPPELL
State	:	TX
Zip	:	75019-3297
Country	:	US
Telephone Number	:	469-635-1105
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/12/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1962533505 — MRS. KATHLEEN SUSAN BONILLA RDH
Practice Location Address:

120 S DENTON TAP RD , SUITE #100
COPPELL, TX
75019-3297

Practice Phone: 469-635-1105
Practice Fax:

1679605059 — MR. RICHARD GARY CROUCH RDH
Practice Location Address:

120 S DENTON TAP RD
COPPELL, TX
75019-3297

Practice Phone: 972-393-7348
Practice Fax:

1780716787 — LEE-ANDREA A. SMITH RDH
Practice Location Address:

120 S DENTON TAP RD , SUITE 270-A
COPPELL, TX
75019-3297

Practice Phone: 972-393-2663
Practice Fax:

1437369444 — DR. JOHN URBAN BOND DDS
Practice Location Address:

120 S DENTON TAP RD , SUITE 210
COPPELL, TX
75019-3297

Practice Phone: 469-635-1105
Practice Fax: 469-635-1108

1528278132 — 6 DAY DENTAL & ORTHODONTICS
Practice Location Address:

120 S DENTON TAP RD , STE 270 A
COPPELL, TX
75019-3297

Practice Phone: 469-635-1105
Practice Fax:

1528278942 — MRS. LILIA ANA ORTIZ R.D.H.
Practice Location Address:

120 S DENTON TAP RD STE 270-A
COPPELL, TX
75019-3297

Practice Phone: 972-393-2663
Practice Fax: 972-304-6362

Directions to “ MRS. LACI DELEE OTTO RDH” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.