Individual
DR. JORDAN HENRY OTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
503 SILHAVY RD STE 105, VALPARAISO, IN 46383-4494
(219) 462-6901
Mailing address
503 SILHAVY RD STE 105, VALPARAISO, IN 46383-4494
(219) 462-6901
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12014369A
IN
1223G0001X
General Practice Dentistry
DDS-09391
IA
Other
Enumeration date
05/23/2017
Last updated
04/30/2025
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