DR. KEVIN JACK OTTE (NPI# 1477532968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477532968 |
| Entity Type | Individual |
| Full Name | DR. KEVIN JACK OTTE |
| Credential | DDS |
| Practice Address |
Naval Health Clinic Great Lakes Dental Directorate North Chicago IL 60088 |
| Mailing Address |
Nhcgl 3001a Sixth Street Great Lakes IL 60088-0000 |
| Practice Telephone | 8476885547 |
| Mailing Telephone | 8476885568 |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2007-11-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
19023277 | IL | Dental Providers |
| Street Address |
NAVAL HEALTH CLINIC GREAT LAKES DENTAL DIRECTORATE |
| City | NORTH CHICAGO |
| State | IL |
| Zip Code | 60088 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043858228 | Kathryn Ann Bird | Dentist | 3440 W Ohio St, Uss Osborne Branch Dental Clinic, Great Lakes, IL 60088 | 2019-12-18 |
| 1740775576 | Jonathan William Criter | Dentist | 3400 Ohio St, Great Lakes, IL 60088 | 2018-06-25 |
| 1134598733 | True Xiong | Dentist | Zachary & Elizabeth Fisher Medical & Dental Clinic, 2470 Sampson Street, Apo, AA 60088 | 2015-09-24 |
| 1447685771 | Lisa Carol Perrone | Dentist | Fhcc Lovell Bldg 237 Dental, Navsta Great Lakes, North Chicago, IL 60088 | 2013-09-05 |
| 1437438421 | David Lawrence Green | Dentist | 2410 Samson St., Bldg 237, Great Lakes, IL 60088 | 2011-08-09 |
| 1164730602 | James A Lovell Federal Health Care Center | Military/U.S. Coast Guard Pharmacy | 2430 Illinois Street, Great Lakes, IL 60088 | 2010-09-17 |
| 1598073439 | James A Lovell Federal Health Care Center | Military/U.S. Coast Guard Pharmacy | 2430 Illinois St, Bldg 1007, Great Lakes, IL 60088 | 2010-09-14 |
| 1164736302 | Clinton Lariscy | Military Health Care Provider | 3355 Illinois St, Recruit Training Command Great Lakes, Great Lakes, IL 60088 | 2010-07-29 |
| 1083943906 | James Doll | Dentist | 2608 Paul Jones St, Great Lakes, IL 60088 | 2009-12-24 |
| 1396996823 | Kelly Robert Lanning | Dentist | 3001 A 6th St Bhc 237, Naval Hospital Great Lakes- Dental Dept., Great Lakes, IL 60088 | 2008-10-02 |
| Find all providers in zip 60088 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447685771 | Lisa Carol Perrone | Dentist | Fhcc Lovell Bldg 237 Dental, Navsta Great Lakes, North Chicago, IL 60088 | 2013-09-05 |
| 1598047003 | John M Lindell | Dentist | 3001 Greenbay Rd., Capt James A. Lovell Fhcc, North Chicago, IL 60064 | 2011-09-12 |
| 1649326786 | Gustav R Kozina | Dentist | 2127 Green Bay Rd, North Chicago, IL 60064-2801 | 2007-01-25 |
| 1316010481 | Ronald Michael Stanczak | Dentist | 2233 Green Bay Rd, North Chicago, IL 60064-3006 | 2006-11-16 |
| 1700401049 | Austin Joseph Voves | Dentist | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2020-06-12 |
| 1952876997 | Mitchell Carey | Dentist | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2018-10-05 |
| 1083195952 | Ross Evan Baker | Dentist | 2410 Sampson St, North Chicago, IL 60088-2942 | 2018-08-28 |
| 1073032967 | Jordan Anne Bretsch | Dentist | Captain James A. Lovell Federal Health Care Center, 3001 Green Bay Road, North Chicago, IL 60064 | 2017-09-12 |
| 1760905665 | Jessica Anne White | Dentist | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2017-07-23 |
| 1578947008 | Molly Ann Erdman | Dentist | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2015-07-14 |
| Find all providers in NORTH CHICAGO | ||||
| City | NORTH CHICAGO |
| Zip Code | 60088 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.