John J Otten in Omaha - Oral And Maxillofacial Surgery
John J Otten - NPI 1902930159
John J Otten is a Oral And Maxillofacial Surgery in Omaha, Nebraska. John J Otten practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for John J Otten is 1902930159. The last update date is 2018-03-17.
John J Otten's current location address is 4014 Leavenworth St, Omaha, Nebraska. You can contact this provider via phone number 4025595999 and fax number 4025593499. The mailing address for John J Otten is 4014 Leavenworth St, Omaha, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John J Otten |
|---|---|
| Address | 4014 Leavenworth St, Omaha, Nebraska |
| Phone Number | 4025595999 |
| Fax Number | 4025593499 |
| Sole Proprietor | N |
| Credentials | M.D., D.D. |
NPI Number Detail
| NPI Number | 1902930159 |
|---|---|
| Provider Enumeration Date | 2007-03-16 |
| Last Updated Date | 2018-03-17 |
Provider Mailing Address Detail
| Address | 4014 Leavenworth St |
|---|---|
| City | Omaha |
| State | Nebraska (NE) |
| Post Code | 681051053 |
| Phone Number | 4025595999 |
| Fax Number | 4025593499 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 021-001773 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 909830 | IL | MEDICARE PT10 |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to John J Otten by the Centers for Medicare & Medicaid Services?
The John J Otten has been issued the NPI (National Provider Identifier) 1902930159, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the John J Otten located?
The John J Otten is located at 4014 Leavenworth St, Omaha, NE 681051053.
What is John J Otten's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for John J Otten is Oral And Maxillofacial Surgery, and the corresponding taxonomy classification code for this specialized field is 1223S0112X.
When did John J Otten receive its 1902930159 assignment?
The John J Otten was assigned its 1902930159 on 2007-03-16, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding John J Otten, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to John J Otten, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2018-03-17.