Provider record
Pamela Alicia Ottesen D.M.D.
Pamela Alicia Ottesen D.M.D. is listed in CMS NPPES as an individual provider record with a General Practice Dentistry taxonomy. The record shows a practice location at 1536 John Sims Pkwy E, Niceville, FL. NPPES also reports a phone number. Confirm current office details directly with the provider.
National Plan and Provider Enumeration System
Data pulled and checked
Reported to NPPES
No affiliation or endorsement implied
We show source-reported CMS NPPES fields.
Confirm details directly with the provider.NPI and status
Source-labeled identifiers and reported record state.
- NPI
- 1952441453
- Entity type
- Individual
- NPPES status
- Reported active
- License status
- Not primary-source verified
Practice location
Practice address and phone as reported in CMS NPPES.
- Address
- 1536 John Sims Pkwy E
Niceville, FL 32578-2138 - Phone
- (315) 723-3972
Directions
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How to verify this record
Use this page as a starting point, then confirm details from primary or direct sources.
- Confirm the office address and phone number directly with the provider.
- Use the NPI number when comparing this record with CMS NPPES.
- Check state licensing sources separately for license status or disciplinary history.
- Ask the office about insurance, appointments, services, and availability.
Taxonomy and source
Specialty taxonomy is source-reported and not a quality or license determination.
- Taxonomy code
- 1223G0001X
- Specialty
- General Practice Dentistry
- Source
- CMS NPPES
- Last updated
- May 26, 2026
Additional NPPES taxonomy rows
Other dental taxonomy entries reported to NPPES for this NPI.
- 122300000X
- Dentist