Larry D Otte, D.M.D. is an oral and maxillofacial surgery dentist in Peoria, IL. The provider is an oral and maxillofacial surgery dentist specialized in 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. Larry D Otte, D.M.D. NPI is 1194859355. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
2807 N KNOXVILLE AVE
PEORIA, IL
ZIP 61604-869
Phone: (309) 682-1213
The NPI 1194859355 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 3/16/2007 and was last updated on 10/2/2008.