DR. Bruce E Rotter, D.M.D.

NPI #1043207046 in Glen Carbon, Illinois

Provider Information

NPI Number: 1043207046
Entity Type: Individual
Name: DR. Bruce E Rotter, D.M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - Oral and Maxillofacial Surgery
Credential: D.M.D.
Enumeration Date: Oct 4, 2005
Last Updated: Apr 17, 2013

Practice Location

Address: 132 CRYSTAL GATE LN
City: Glen Carbon
State: Illinois
ZIP Code: 62034-1141
Phone: (618) 288-0962

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X	Primary

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Organizations

Provider Name	Specialty	City
Shawnee Hills Oral & Maxillofacial Surgery Part of Shawnee Hills Oral & Maxillofacial Surgery, PC	Dentist - Oral and Maxillofacial Surgery	Glen Carbon	AI Deep Dive

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