Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. NORMAN DAVID ROTBLAT, DDS MS
ActiveDR. NORMAN DAVID ROTBLAT, DDS MS is a Oral & Maxillofacial Surgery healthcare provider located in FON DU LAC, Wisconsin. NPI 1407961857 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · FON DU LAC, WI
Registration Details
- NPI Number
- 1407961857
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 19, 2006 (19.991922115411 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
5001508015 (WI)215606 (IL)
Practice Information
- Address
-
545 EAST JOHNSON STREETFON DU LAC, WI, 54935Browse WI providers · Browse ZIP 54935
- Phone
- 9209249090
- Fax
- 9209210800
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
- Additional Specialty
- Oral & Maxillofacial Surgery
- Additional Specialty
- General Dentistry
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.