Dr. Bruce E Rotter

D.M.D. | Dentist



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

  618-288-0962    Maps & Directions
Dr. Bruce E Rotter is a Glen Carbon, Illinois based Dentist who is specialized in Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Bruce E Rotter is 021-001642 for Oral and Maxillofacial Surgery in Illinois. His current practice location is 132 Crystal Gate Ln, Glen Carbon. Patients can reach him at 618-288-0962.
Dr. Bruce E Rotter is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Bruce E Rotter speciality, credentials, practice address, contact phone number and fax are as below. Patients can directly walk in or can call on the below given phone number for appointment.
Name: Dr. Bruce E Rotter
Specialization: Dentist
Gender:Male
Credentials: D.M.D.
Accepts Medicare Assignment:No
Practice Address:132 Crystal Gate Ln, Glen Carbon,
Illinois, 62034-1141
Phone:618-288-0962
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number: 1043207046
NPI Enumeration Date: 04 Oct, 2005
NPI Last Update On: 17 Apr, 2013

Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Bruce E Rotter are as mentioned below.
License NumberSpecializationStateStatus
021-001642Oral and Maxillofacial Surgery IllinoisPrimary
019-018159Dentistry IllinoisSecondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Bruce E Rotter such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
480442OtherIllinoisHEALTHLINK INS PROV ID
1420102OtherIllinoisUNITED CONCORDIA PROV ID
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 132 Crystal Gate Ln,
Glen Carbon, Illinois
Zip: 62034-1141
Phone Number: 618-288-0962
Patients can reach Dr. Bruce E Rotter at 132 Crystal Gate Ln, Glen Carbon, Illinois or can call to book an appointment on 618-288-0962. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.

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