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Linda Louise Otis, DDS

Dentist in Lincoln, NE. Individual provider (NPI-1).

NPI number1700923398
StatusActive
Last updated in NPPESApr 10, 2024

Details

NPI
1700923398
Entity type
Individual (NPI-1)
Name
Linda Louise Otis
Credential
DDS
Sex
Female
Sole proprietor
No
Enumeration date
Jan 31, 2007
Certification date
Apr 10, 2024
Last updated
Apr 10, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist6452OKYes
122300000X Dentist5236NE

Practice location

1021 N 27th St
Lincoln, NE 68503-1803

Phone 402-476-1640 · Fax 402-476-1670

Mailing address

1021 N 27th St
Lincoln, NE 68503-1803

Phone 402-476-1640 · Fax 402-476-1670

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