Dr Norman David Rotblat, DDS MS is a
Dentist - General Practice based in Fon Du Lac, Wisconsin. Dr Norman David Rotblat is licensed to practice in Illinois (license number ) and his current practice location is
545 East Johnson Street, Fon Du Lac, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(920) 924-9090.
NPI number for Dr Norman David Rotblat is 1407961857 and his current mailing address is 1142 Oakwood Drive, Freeport, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1407961857.
Healthcare Provider's Profile
| Full Name | Dr Norman David Rotblat |
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| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 545 East Johnson Street, Fon Du Lac, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1407961857
- Provider Enumeration Date: 08/19/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Norman David Rotblat such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407961857 | NPI | - | NPPES |
| 33771100 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 5001508015 (Wisconsin) | Primary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 215606 (Illinois) | Primary |
| 1223G0001X | Dentist - General Practice | (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Norman David Rotblat is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Norman David Rotblat, DDS MS
1142 Oakwood Drive,
Freeport, IL 61032-3725
Ph: (815) 235-4517 | Dr Norman David Rotblat, DDS MS
545 East Johnson Street,
Fon Du Lac, WI 54935
Ph: (920) 924-9090 |
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