Rotblat, Norman David

Rotblat, Norman David is an individual health care provider with primary practice located at 545 East Johnson Street , Fon Du Lac WI 54935. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Dental Providers / General Practice. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Rotblat, Norman David can be contacted via phone (920) 924-9090.

Contact Information

Primary practice address
545 East Johnson Street Fon Du Lac WI 54935
Phone: (920) 924-9090
Fax: (920) 921-0800
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 5001508015 Wisconsin
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 215606 Illinois
Dental Providers / General Practice 1223G0001X Illinois

Profile Details

NPI number 1407961857
LBN Legal business name Rotblat, Norman David
Credentials DDS MS
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407961857 NPPES
Wisconsin MEDICAID 33771100

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