Otte, Kevin Jack

Otte, Kevin Jack is an sole proprietor health care provider with primary practice located at Naval Health Clinic Great Lakes Dental Directorate, North Chicago IL 60088. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Otte, Kevin Jack can be contacted via phone (847) 688-5547.

Contact Information

Primary practice address

Naval Health Clinic Great Lakes Dental Directorate North Chicago IL 60088

Phone: (847) 688-5547

Fax:

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Dental Providers / General Practice	1223G0001X	19023277	Illinois

Profile Details

NPI number	1477532968
LBN Legal business name	Otte, Kevin Jack
Credentials	Doctor of Dental Surgery (DDS)
Entity	Individual
Sole proprietor ¹	Yes
Enumeration date	Jan 12th, 2006
Last updated	Nov 19th, 2007 - about 18 years ago

¹ A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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