Individual
REBECCA OTTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
927 N BUSINESS HWY 71, ANDERSON, MO 64831
(417) 845-2273
Mailing address
4301 DONIPHAN DR, NEOSHO, MO 64850-9120
(417) 451-9450
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DDS-10478
IA
124Q00000X
Dental Hygienist
Primary
2007021065
MO
Other
Enumeration date
11/08/2012
Last updated
08/12/2026
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