Robert F. Otto D.M.D., P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ROBERT F. OTTO D.M.D., P.C.

Practice address

21 W. Jefferson St.
Oswego, IL 60543-9002

Phone

(630) 554-9100

Fax

(630) 554-1809

NPI assigned

Nov 17, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Robert Frank Otto, D.M.D.NPI 1295809879

Title

President

Phone

(630) 554-9100

Specialties & licenses 1

Addresses

Other names 1

• Oswego Dental Care Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Otto, D.M.D.

  • General Practice Dentistry
  • Oswego, IL
  • NPI 1295809879
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114091790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 W. JEFFERSON ST.",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605439002",
            "telephone_number": "630-554-9100",
            "fax_number": "630-554-1809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 W. JEFFERSON ST.",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605439002",
            "telephone_number": "630-554-9100",
            "fax_number": "630-554-1809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT F. OTTO D.M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OTTO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-554-9100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oswego Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yarely Ruby Reyes
• Ride the Wave Wellness, Inc.
• Hannah E Rieker, FNP-BC
• Karen L Rittgarn, PT
• Farhat Rizwan
• Kelli Robinson, PT
• Alexis Robles
• Cassie Rose Rodriguez
• Lauren Rodriguez, MSW, LSW
• Rooted Mind & Body Wellness

• General Practice Dentistry in Oswego, IL
• Providers in Oswego, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.