Raymond C. Otte, D.D.S.
General Practice Dentistry · Goreville, IL
Practice location
112 W. Main St.Goreville, IL 62939-0008
- Phone
- (618) 995-9777
NPI record
- NPI
- 1063632818
- Entity type
- Individual (Type 1)
- Enumeration date
- April 26, 2007
- Last updated
- July 8, 2007
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
019-017654 | IL |
About Dr. Otte
Raymond C. Otte, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 112 W. Main St., Goreville, IL 62939-0008. The NPI number 1063632818 was assigned on April 26, 2007 and the record was last updated on July 8, 2007.
Dr. Otte lists a license in the registry: #019-017654 (IL) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Raymond C. Otte, D.D.S.?
The NPI number is 1063632818.
What is the phone number of Dr. Otte?
The phone number listed for the practice location is (618) 995-9777.
Where is Dr. Otte located?
112 W. Main St., Goreville, IL 62939-0008.
What is the taxonomy code for Dr. Otte?
The primary taxonomy code is 1223G0001X – General Practice Dentistry.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.