Individual
LARRY D OTTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
019-024407
IL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
021-001850
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
909830
MEDICARE PT10
IL
Enumeration date
03/16/2007
Last updated
10/02/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up