Dr. Norman David Rotblat
DDS MS | Oral and Maxillofacial Surgeon
545 East Johnson Street, Fon Du Lac
Wisconsin, 54935
920-924-9090 920-921-0800
Maps & DirectionsDr. Norman David Rotblat is a Fon Du Lac, Wisconsin based Oral and Maxillofacial Surgeon who is specialized in
Oral and Maxillofacial Surgery. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Norman David Rotblat is
215606 for Oral and Maxillofacial Surgery in Illinois. His current practice location is
545 East Johnson Street, Fon Du Lac. Patients can reach him at
920-924-9090.
Dr. Norman David Rotblat deals with the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Complete Profile:
Dr. Norman David Rotblat 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. Norman David Rotblat |
| Specialization: | Oral and Maxillofacial Surgeon |
| Gender: | Male |
| Credentials: | DDS MS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 545 East Johnson Street, Fon Du Lac,
Wisconsin, 54935 |
| Phone: | 920-924-9090 |
| Fax: | 920-921-0800 |
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: | 1407961857 |
| NPI Enumeration Date: | 19 Aug, 2006 |
| NPI Last Update On: | 11 Sep, 2025 |
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. Norman David Rotblat are as mentioned below.
| License Number | Specialization | State | Status | |
| 215606 | Oral and Maxillofacial Surgery | Illinois | Primary | |
| 5001508015 | Oral and Maxillofacial Surgery | Wisconsin | Secondary | |
| General Practice Dentistry | Illinois | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Norman David Rotblat such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 33771100 | Medicaid | Wisconsin | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1142 Oakwood Drive,
Freeport, Illinois |
| Zip: | 61032-3725 |
| Phone Number: | 815-235-4517 |
| Fax Number: | 815-235-4842 |
Patients can reach Dr. Norman David Rotblat at
545 East Johnson Street, Fon Du Lac, Wisconsin or can
call to book an appointment on 920-924-9090.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.