Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KENNETH P ROTTMAN, D.D.S.
Active Sole ProprietorDR. KENNETH P ROTTMAN, D.D.S. is a General Dentistry healthcare provider located in LONG BEACH, Indiana. NPI 1891091161 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · LONG BEACH, IN
Registration Details
- NPI Number
- 1891091161
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 4, 2011 (15.524386884 yrs)
- Last Updated
- Feb 4, 2011
- License
-
12009645A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2933 LAKE SHORE DRLONG BEACH, IN, 463601705Browse IN providers · Browse ZIP 46360
- Phone
- 2198741076
- Fax
- 2198798030
- Primary Specialty
-
General Dentistry
1223G0001X
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.