Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

John J Otten, MD, DDS

Individual provider General Practice Dentistry · NPI 1902930159

John J Otten, MD, DDS is a General Practice Dentistry in Omaha, Nebraska. Works from 2 locations. Licensed in Illinois and Nebraska.

Licensed in
IL, NE
In the registry since
2007
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

4014 Leavenworth St
Omaha, NE 68105-1053
Phone: (402) 559-5999
Fax: (402) 559-3499
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2807 N Knoxville Ave, Peoria, IL 61604-2869 — (309) 682-1213

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 30317 (NE)
General Practice Dentistry Taxonomy 1223G0001X · Licence 019-023700 (IL)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 021-001773 (IL)

Record details

NPI number1902930159
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , DDS
Sole proprietorNo
NPI enumeratedMarch 16, 2007
Last updated in NPPESMarch 17, 2018
Mailing address988102 Nebraska Medical Ctr, Omaha, NE 68198-8102

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