Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LARRY D OTTE, D.M.D.
ActiveLARRY D OTTE, D.M.D. is a Oral & Maxillofacial Surgery healthcare provider located in PEORIA, Illinois. NPI 1194859355 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · PEORIA, IL
Registration Details
- NPI Number
- 1194859355
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 16, 2007 (19.375540783268 yrs)
- Last Updated
- Oct 2, 2008
- Licenses
-
019-024407 (IL)021-001850 (IL)
Practice Information
- Address
-
2807 N KNOXVILLE AVEPEORIA, IL, 616042869Browse IL providers · Browse ZIP 61604
- Phone
- 3096821213
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
- Additional Specialty
- Oral & Maxillofacial Surgery
Other Oral & Maxillofacial Surgery Providers in PEORIA, IL
| Name | Credential | NPI |
|---|---|---|
| DR. JAMES WILLIS PLEDGER II | D.D.S | 1265599864 |
| DR. ROBERT JOHN BUSCH | DMD MD | 1467669762 |
| NATHAN D SCHROEDER | D.M.D. | 1356558282 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.