person
John J Otten, MD,DDS
Oral and Maxillofacial Surgery (Dentist) in Omaha, Nebraska
NPI 1902930159

John J Otten is a Oral and Maxillofacial Surgery (Dentist) based in Omaha, NE and is specialized in Oral and Maxillofacial Surgery. John J Otten practices in Omaha, NE and has the professional credentials of MD,DDS. The NPI Number for John J Otten is 1902930159 and holds a License No. 019-023700 (Nebraska).

The current practice location address for John J Otten is 4014 Leavenworth St, Omaha, NE and can be reached out via phone at 402-559-5999 and via fax at 402-559-3499. You can also correspond with John J Otten through the mailing address at 988102 NEBRASKA MEDICAL CTR, OMAHA, NE - 68198-8102 (mailing address contact number: ).

Location: 4014 Leavenworth St, Omaha, NE, 68198-8102
person
Provider Profile Details
NPI Number
1902930159
Provider Name
John J Otten
Credential
MD,DDS
Provider Entity Type
Individual
Gender
Male
Address
4014 Leavenworth St, Omaha, NE, 68198-8102
Phone Number
402-559-5999
Fax Number
402-559-3499
Provider Enumeration Date
03/16/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
909830 01 IL MEDICARE PT10
institution
Provider Business Practice Location Address Details
Address
4014 Leavenworth St
City
State
Zip
68105-1053
Phone Number
402-559-5999
Fax Number
402-559-3499
person
Provider Business Mailing Address Details
Address
988102 Nebraska Medical Ctr
City
State
Zip
68198-8102
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
021-001773 (Illinois)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
019-023700 (Illinois)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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