Larry D Otte is a Peoria, Illinois based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Larry D Otte is 021-001850 for Oral and Maxillofacial Surgery in Illinois. His current practice location is 2807 N Knoxville Ave, Peoria. Patients can reach him at 309-682-1213.
Larry D Otte is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Larry D Otte speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Larry D Otte
Specialization:
Dentist
Gender:
Male
Credentials:
D.M.D.
Accepts Medicare Assignment:
No
Practice Address:
2807 N Knoxville Ave, Peoria, Illinois, 61604-2869
Phone:
309-682-1213
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1194859355
NPI Enumeration Date:
16 Mar, 2007
NPI Last Update On:
02 Oct, 2008
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Larry D Otte are as mentioned below.
License Number
Specialization
State
Status
021-001850
Oral and Maxillofacial Surgery
Illinois
Primary
019-024407
General Practice Dentistry
Illinois
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Larry D Otte such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
909830
Other
Illinois
MEDICARE PT10
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2807 N Knoxville Ave, Peoria, Illinois
Zip:
61604-2869
Phone Number:
309-682-1213
Patients can reach Larry D Otte at 2807 N Knoxville Ave, Peoria, Illinois or can call to book an appointment on 309-682-1213. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.