Otto, Andrew

Otto, Andrew is an sole proprietor health care provider with primary practice located at 726 Shawnee St , Leavenworth KS 66048-1804. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Otto, Andrew can be contacted via phone (816) 808-1795.

Contact Information

Primary practice address
726 Shawnee St Leavenworth KS 66048-1804
Phone: (816) 808-1795
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 61882 Kansas

Profile Details

NPI number 1477122786
LBN Legal business name Otto, Andrew
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 21st, 2021
Last updated Jun 19th, 2024 - about last year

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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