Larry D Otte, DMD | |
2807 N Knoxville Ave, Peoria, IL 61604-2869 | |
(309) 682-1213 | |
Not Available |
Full Name | Larry D Otte |
---|---|
Gender | Male |
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 2807 N Knoxville Ave, Peoria, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194859355 | NPI | - | NPPES |
909830 | Other | IL | MEDICARE PT10 |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 019-024407 (Illinois) | Secondary |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 021-001850 (Illinois) | Primary |
Mailing Address | Practice Location Address |
---|---|
Larry D Otte, DMD 2807 N Knoxville Ave, Peoria, IL 61604-2869 Ph: (309) 682-1213 | Larry D Otte, DMD 2807 N Knoxville Ave, Peoria, IL 61604-2869 Ph: (309) 682-1213 |
Megan Boyd, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1424 W Glen Ave Ste A, Peoria, IL 61614 Phone: 309-691-8033 | |
Dr. Nadeem S Esmail, DDS, MD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2807 N Knoxville Ave, Peoria, IL 61604 Phone: 309-682-1213 | |
Joseph Nicholas Taylor, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 7310 N Villa Lake Dr Ste B, Peoria, IL 61614 Phone: 309-691-9072 Fax: 309-691-9432 | |
Thien An Vu, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 320 E Armstrong Ave, Peoria, IL 61603 Phone: 714-548-9743 | |
Dr. Kathy Arkwell, D.M.D., M.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2425 W Cornerstone Ct, Peoria, IL 61614 Phone: 309-692-3000 Fax: 309-692-4477 | |
Dr. James R. Frost, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 2001 W Willow Knolls Dr, Suite #204, Peoria, IL 61614 Phone: 309-692-8118 Fax: 309-692-6655 | |
Dr. Lori Anne Pollard Rice, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 838 W Glen Ave, Peoria, IL 61614 Phone: 309-691-1990 Fax: 309-691-9112 |