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Dr. Bruce E Rotter

Dentist Oral and Maxillofacial Surgeon

132 Crystal Gate Ln
Glen Carbon , Illinois 62034-1141

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Dr. Bruce E Rotter

Dentist Oral and Maxillofacial Surgeon

132 Crystal Gate Ln
Glen Carbon , Illinois 62034-1141

(618) 288-0962

Write a Review Save Call

Dr. Bruce E Rotter

Dentist Oral and Maxillofacial Surgeon

132 Crystal Gate Ln
Glen Carbon , Illinois 62034-1141

(618) 288-0962 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Dentist
  • Oral and Maxillofacial Surgeon

Languages spoken

  • English

Location

132 Crystal Gate Ln Glen Carbon , Illinois 62034-1141

First Address

  • Dr. Bruce E Rotter
  • 132 Crystal Gate Ln
  • Glen Carbon, IL
  • Zip : 62034-1141
  • Phone : (618) 288-0962

Second Address

  • Dr. Bruce E Rotter
  • 132 Crystal Gate Ln
  • Glen Carbon, IL
  • Zip : 62034-1141
  • Phone : (618) 288-0962

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FAQs


Where did Dr. Bruce E Rotter attend graduate school?

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Where did Dr. Bruce E Rotter do his residency?

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Where did Dr. Bruce E Rotter do his fellowship?

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Is Dr. Bruce E Rotter board certified?

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What type of doctor is Dr. Bruce E Rotter

Oral and Maxillofacial Surgeon

In what state does Dr. Bruce E Rotter practice in?

Illinois

Where is Dr. Bruce E Rotter ’s practice located?

132 Crystal Gate Ln , Glen Carbon, Illinois, 62034-1141

What is Dr. Bruce E Rotter ’s gender?

Male

Is Dr. Bruce E Rotter a sole practitioner?

No

Is Dr. Bruce E Rotter accepting new patients?

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What languages does Dr. Bruce E Rotter speak?

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Does Dr. Bruce E Rotter accept insurance?

Yes, Dr. Bruce E Rotter accepts insurance

Does Dr. Bruce E Rotter offers telemedicine?

Dr. Bruce E Rotter has not indicated if he offers telemedicine

What is Dr. Bruce E Rotter ’s professional license number?

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What is Dr. Bruce E Rotter ’s NPI number?

1043207046

Does Dr. Bruce E Rotter have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 122300000X Dentist 019-018159 IL
Y 1223S0112X Oral and Maxillofacial Surgeon 021-001642 IL

National Provider Identifier

NPI 1043207046
Provider Name Dr. Bruce E Rotter
First Address Glen Carbon, IL 62034-1141
Second Address Glen Carbon, IL 62034-1141
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 04/10/2005
Last Update Date 17/04/2013

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
1420102 UNITED CONCORDIA PROV ID (01) IL
480442 HEALTHLINK INS PROV ID (01) IL
T95304 (02) ID

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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