Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRUCE E ROTTER, D.M.D.
ActiveDR. BRUCE E ROTTER, D.M.D. is a Oral & Maxillofacial Surgery healthcare provider located in GLEN CARBON, Illinois. NPI 1043207046 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · GLEN CARBON, IL
Registration Details
- NPI Number
- 1043207046
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 4, 2005 (20.837506116847 yrs)
- Last Updated
- Apr 17, 2013
- Licenses
-
019-018159 (IL)021-001642 (IL)
Practice Information
- Address
-
132 CRYSTAL GATE LNGLEN CARBON, IL, 620341141Browse IL providers · Browse ZIP 62034
- Phone
- 6182880962
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
- Additional Specialty
- Oral & Maxillofacial Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.