Dr. Kenneth S Rotskoff
Oral & Maxillofacial Surgeon
1034 S Brentwood Blvd Suite 1010
Saint Louis
, Missouri 63117-1223
Dr. Kenneth S Rotskoff
Oral & Maxillofacial Surgeon
1034 S Brentwood Blvd Suite 1010
Saint Louis
, Missouri 63117-1223
(314) 721-1010
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About
Features
Specialties
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Kenneth S Rotskoff
- 1034 S Brentwood Blvd Suite 1010
- Saint Louis, MO
- Zip : 63117-1223
- Phone : (314) 721-1010
Second Address
- Dr. Kenneth S Rotskoff
- 1034 S Brentwood Blvd Suite 1010
- Saint Louis, MO
- Zip : 63117-1223
- Phone : (314) 721-1010
Reviews
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Is Dr. Kenneth S Rotskoff a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgeon | 011149 | MO |
National Provider Identifier
| NPI | 1578777280 |
|---|---|
| Provider Name | Dr. Kenneth S Rotskoff |
| First Address | Saint Louis, MO 63117-1223 |
| Second Address | Saint Louis, MO 63117-1223 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/05/2007 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 011149 | DENTAL LICENSE (01) | MO |
| T84790 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
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?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.