Otto, George Warren

Otto, George Warren is an sole proprietor health care provider with primary practice located at 3509 Harrison St , Bellevue NE 68147-1252. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Otto, George Warren can be contacted via phone (402) 733-4770.

Contact Information

Primary practice address
3509 Harrison St Bellevue NE 68147-1252
Phone: (402) 733-4770
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 4552 Nebraska

Profile Details

NPI number 1386750495
LBN Legal business name Otto, George Warren
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 22nd, 2006
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1386750495 NPPES
Nebraska MEDICAID 47059634300

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