DR. BRUCE ROTTER, D.M.D.
Dentist - Oral and Maxillofacial Surgery
Active
Individual
NPI: 1043207046
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist | 122300000X | No | 019-018159 (IL) |
| Dentist - Oral and Maxillofacial Surgery | 1223S0112X | Yes | 021-001642 (IL) |
Frequently Asked Questions
NPI 1043207046 is the National Provider Identifier for DR. BRUCE ROTTER, D.M.D., a Dentist - Oral and Maxillofacial Surgery provider located in Glen Carbon, IL. This NPI was enumerated on October 4, 2005.
DR. BRUCE ROTTER, D.M.D. practices at 132 CRYSTAL GATE LN, Glen Carbon, IL 62034.
Quick Facts
- NPI
- 1043207046
- Type
- Individual
- Enumerated
- Oct 4, 2005
- Last Updated
- Apr 17, 2013
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