Abbie J Otto DDS PC
Organization Active NPI Preferred Provider Organization · Holstein, IA
NPI 1962811091 · NPPES record last updated Aug 2, 2014
Key facts
- NPI
- 1962811091
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Preferred Provider Organization 305R00000X
- License
- DDS-09098 (IA)
- Legal business name
- ABBIE J OTTO DDS PC
- Practice address
- 128 S Main St
Holstein, IA 51025-5018 - Phone
- (712) 368-4351
- NPI assigned
- Aug 2, 2014
- Organization subpart
- No
Authorized official
- Name
- Dr. Abbie Jo Otto, D.D.S.
- Title
- Owner
- Phone
- (712) 368-4351
Practitioners 2
-
Myron Leonard Murphy, DDS
-
Abbie J Otto, D.D.S.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preferred Provider Organization | 305R00000X | DDS-09098 | IA | Yes |
Addresses
Primary practice location
128 S Main St
Holstein, IA 51025-5018
Mailing address
1625 Eagle Ave
Holstein, IA 51025-8051
Phone (712) 898-6835
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245646801 | Medicaid | IA |
Other names
- Downtown Dental
Other providers in Holstein, IA
- Abilit Holdings (Holstein), LLC
- Jessica Bettin
- Morgan Bode
- Char Mac Assisted Living of Holstein
- City of Holstein
All providers in Holstein, IA · Preferred Provider Organization in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.