DR. RAYMOND C OTTE (NPI# 1063632818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063632818 |
| Entity Type | Individual |
| Full Name | DR. RAYMOND C OTTE |
| Credential | D.D.S. |
| Practice Address |
112 W. Main St. Goreville IL 62939-0008 |
| Practice Telephone | 6189959777 |
| Mailing Telephone | 6189959777 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
IL | Dental Providers |
| Street Address |
112 W. MAIN ST. |
| City | GOREVILLE |
| State | IL |
| Zip Code | 62939-0008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720288756 | Sally J Ballard | Physician Assistant | 200 S Broadway, Goreville, IL 62939 | 2007-07-18 |
| 1619287232 | Tricia Ann Bailey | Developmental Therapist | 270 Regent Ln, Goreville, IL 62939-1913 | 2010-10-16 |
| 1629189238 | Janet S White | Physician Assistant | 400 S Broadway, Goreville, IL 62939-2444 | 2006-08-31 |
| 1962763045 | Rural Health, Inc. | Clinic/Center | 400 S Broadway, Goreville, IL 62939-2444 | 2012-06-05 |
| 1124237839 | Randle Earl Doty | Nurse Practitioner | 200 S Broadway # 40, Goreville, IL 62939-2447 | 2007-05-21 |
| 1790980985 | Cls Medical Inc. | Clinic/Center | 200 S Broadway, Goreville, IL 62939-2447 | 2007-06-18 |
| 1245493865 | Camarato Drug Inc | Pharmacy | 901 S Broadway, Goreville, IL 62939-2477 | 2008-07-03 |
| 1114440179 | Keith Samuel Bass | Nurse Practitioner | 400 S Broadway, Goreville, IL 62939-2484 | 2017-07-21 |
| 1548897986 | Cr Vaughn Inc | Contractor | 600 Dunn Ln, Goreville, IL 62939-2487 | 2020-03-25 |
| 1457605834 | Amber Conyea | Physical Therapy Assistant | 1238 Francis Ln, Goreville, IL 62939-2514 | 2012-11-06 |
| Find all providers in zip 62939 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104425230 | Sundeep Franklin Dmd & Daiana Capota Dmd Pllc | Dentist | 320 N Mclean Blvd Ste B, Elgin, IL 60123-3220 | 2020-10-20 |
| 1801403555 | Stephanie Elizabeth Miller | Dentist | 2220 Sisters Ave, Naperville, IL 60564-4394 | 2020-09-27 |
| 1417564121 | Gursimran Reen, Dmd LLC | Dentist | 29 S Webster St Ste 108, Naperville, IL 60540-5353 | 2020-09-26 |
| 1285240531 | Summit Dental Center LLC | Dentist | 7710 W 62nd Pl, Summit, IL 60501-1702 | 2020-09-22 |
| 1295340628 | Karina Valentin | Dentist | 1534 N Oakley Blvd Apt 3f, Chicago, IL 60622-1783 | 2020-09-11 |
| 1932713583 | Kevin G Reardon | Dentist | 479 S Spring Rd, Elmhurst, IL 60126-3857 | 2020-09-01 |
| 1831702307 | Sms Dental LLC | Dentist | 17727 Halsted St, Homewood, IL 60430 | 2020-08-25 |
| 1548870884 | Daniel Patrick Jurgens | Dentist | 2 N Country Club Rd Ste 2, Decatur, IL 62521-4174 | 2020-08-02 |
| 1184233934 | Shawna Jade Dudovitz | Dentist | 309 Tamarack Ln, Shiloh, IL 62269-2993 | 2020-07-28 |
| 1417565748 | Robert Hails | Dentist | 3540 N Belt W Ste B, Belleville, IL 62226-5975 | 2020-07-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.