Jack Edgar Osterhaus, DDS
General Practice Dentistry · Lasalle, IL
Practice location
2424 Chartres StreetLasalle, IL 61301-1107
- Phone
- (815) 223-6013
NPI record
- NPI
- 1427480177
- Entity type
- Individual (Type 1)
- Enumeration date
- August 5, 2013
- Last updated
- August 5, 2013
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
019.029567 | IL |
About Dr. Osterhaus
Jack Edgar Osterhaus, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 2424 Chartres Street, Lasalle, IL 61301-1107. The NPI number 1427480177 was assigned on August 5, 2013 and the record was last updated on August 5, 2013.
Dr. Osterhaus lists a license in the registry: #019.029567 (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 Jack Edgar Osterhaus, DDS?
The NPI number is 1427480177.
What is the phone number of Dr. Osterhaus?
The phone number listed for the practice location is (815) 223-6013.
Where is Dr. Osterhaus located?
2424 Chartres Street, Lasalle, IL 61301-1107.
What is the taxonomy code for Dr. Osterhaus?
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.
Other General Practice Dentistry providers in Lasalle
- Daniel E. Oconnell, DDS206 Marquette St