Larry D. Otte, D.M.D.
Oral & Maxillofacial Surgery · Peoria, IL
UnclaimedD.M.D.NPI 1194859355
- Primary taxonomy
- 1223S0112X
- Enumerated
- 2007-03-16
- Practice location
- Peoria, IL
- Last NPPES update
- 2008-10-02
State licenses
- IL · Dentist · NPPES self-reportedListed on NPI record
- IL · Dentist · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.