Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1962029520 Individual Practitioner Female Practitioner

Dr. Mackenzie Schneider Otter , DMD

Dentist • Burlington, WI

Professional Overview & Biography Verified Profile Summary

Dr. Mackenzie Otter, DMD is a registered healthcare professional specializing in Dentist in Burlington, WI. Practice services are available at 190 GARDNER AVE STE 5 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

190 Gardner Ave Ste 5

Burlington, WI 531052160

Telephone 2627636921
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Burlington, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.1 Yrs
Regional Practice Density
8 Specialists

Practicing in Burlington, WI (1850 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-04-06
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License WI 1002339-15

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Bilal Khan

Dentist

NPI 1194642140
NPI 1730399742

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
👤
Provider Name / Credentials Updated April 06, 2026

Recorded as MACKENZIE OTTER, DMD

NPI Profile Active June 30, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location June 30, 2020

Registered at 190 GARDNER AVE STE 5, BURLINGTON, WI 531052160 (Tel: 2627636921)

📍
Updated Business Mailing Address June 30, 2020

Registered at 190 GARDNER AVE STE 5, BURLINGTON, WI 531052160 (Tel: 2627636921)

👤
Provider Name / Credentials Updated June 30, 2020

Recorded as MACKENZIE SCHNEIDER, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 30, 2020

Dentist (License #1002339-15 in WI)

🟢
Initial NPI Registration & Enumeration June 30, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962029520
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 30, 2020
Last Update: April 06, 2026
Sole Proprietor: Yes

Mailing Address

190 Gardner Ave Ste 5

Burlington, WI 531052160

Phone: 2627636921

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.