Search › Nebraska › 1223S0112X
John Otten, M.D., D.D.S
NPI 1902930159 · on the registry since 2007
Practice
- Address
- 4014 Leavenworth St
Omaha, NE 68105 - Phone
- (402) 559-5999
- Fax
- (402) 559-3499
- Organisation at this address
- Nebraska Medical Center
The Nebraska Medical CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 50
Additional practice sites
- 2807 N Knoxville Ave, Peoria, IL
Registry record
- Primary taxonomy
- 1223S0112X
1223S0112X
- Also registered as
- 1223G0001X
1223S0112X - Licence states on file
- IL, NE
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-03-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nebraska