LARRY OTTE, D.M.D.
Oral and Maxillofacial Surgery (Dentist) · PEORIA, IL
Individual Active Opted out of Medicare NPI 1194859355
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | ✓ | 021-001850 | IL |
| General Practice Dentistry | 1223G0001X | 019-024407 | IL |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- No
- Hospice
- Yes
Opted out of Medicare (Oral Surgery), effective 2017-12-19 through 2027-12-19.
Other Oral and Maxillofacial Surgery (Dentist) providers in Illinois
- NPI 1154357291
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- NPI 1356558282
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See all Oral and Maxillofacial Surgery (Dentist) providers in Illinois →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.