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DR. GREG BRIAN OTTO D.M.D.
NPI 1629097308
Dentist - General Practice in Vancouver, WA

Active since July 19, 2006
12711 SE MILL PLAIN BLVD, VANCOUVER, WA 98684(360) 896-4484 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Greg Brian Otto D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GREG BRIAN OTTO D.M.D. (NPI 1629097308) is an individual general practice provider in Vancouver, Washington, licensed in Washington (5466) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1629097308
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. GREG BRIAN OTTOCredential: D.M.D.
Location Address12711 SE MILL PLAIN BLVDVancouver, WA 98684-6053
Mailing Address12711 S.e. Mill Plain Blvd.Vancouver, WA 98684
Phone(360) 896-4484
Sole ProprietorNo
Enumeration DateJuly 19, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1629097308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WA · 5466
Definition
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.
12711 SE MILL PLAIN BLVD, Vancouver, WA 98684
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SVETLANA ANENKO
Dental Assistant
12711 SE MILL PLAIN BLVD
VANCOUVER, WA 98684
Clark County (360) 896-4484
DR. JOHN ROBERT SUNDELL D.D.S.
Dentist (General Practice)
12711 SE MILL PLAIN BLVD
VANCOUVER, WA 98684
Clark County (360) 896-4484
MS. MARY AGNES GUBALA RDH
Dental Hygienist
12711 SE MILL PLAIN BLVD
VANCOUVER, WA 98684
Clark County (360) 896-4484
TAMERA JANCZE RDH
Dental Hygienist
12711 SE MILL PLAIN BLVD
VANCOUVER, WA 98684
Clark County (360) 896-4484
CHARITY REBECCA ASHWORTH RDH
Dental Hygienist
12711 SE MILL PLAIN BLVD
VANCOUVER, WA 98684
Clark County (360) 896-4484
KAISER PERMANENTE DENTAL CARE PROGRAM
Dental Hygienist
12711 SE MILL PLAIN BLVD
VANCOUVER, WA 98684
Clark County (360) 896-4484
NORA L. MCDERMOTT EFODA
Dental Assistant
12711 SE MILL PLAIN BLVD
VANCOUVER, WA 98684
Clark County (360) 896-4484
RAMINTA ISAI RDH
Dental Hygienist
12711 SE MILL PLAIN BLVD
VANCOUVER, WA 98684
Clark County (360) 513-5987

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Greg Otto's NPI number?

The NPI number for Greg Otto is 1629097308. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Greg Otto located?

Greg Otto practices at 12711 SE Mill Plain Blvd, Vancouver, WA 98684. The listed phone number is (360) 896-4484.

What is Greg Otto's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Greg Otto was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.