DR. KENNETH P ROTTMAN


Address: 2933 Lake Shore Dr, Long Beach, IN 46360-1705
Phone: 2198741076

DR. KENNETH P ROTTMAN (NPI# 1891091161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891091161
Entity Type Individual
Full Name DR. KENNETH P ROTTMAN
Credential D.D.S.
Practice Address 2933 Lake Shore Dr
Long Beach
IN 46360-1705
Practice Telephone 2198741076
Practice Fax Number 2198798030
Mailing Telephone 2198741076
Mailing Fax Number 2198798030
Enumeration Date 2011-02-04
Last Update Date 2011-02-04
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
12009645A IN Dental Providers

Office Location

Street Address 2933 LAKE SHORE DR
City LONG BEACH
State IN
Zip Code 46360-1705

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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942866645 Mahshid Assadi Dentist 4300 Long Beach Blvd Ste 415, Long Beach, CA 90807-2017 2019-05-17
1508363516 Joemari Salvani Dentist 4578 Atlantic Avenue, Long Beach, CA 90807 2018-04-07
1235662842 Addyson England Dentist 6437 E Pacific Coast Hwy Unit A-6, Long Beach, CA 90803-4201 2017-04-10
1346608379 Anh Hoang Nguyen Dentist 2700 N Bellflower Blvd Ste 106, Long Beach, CA 90815-1129 2016-02-04
1477925683 Cherag Dinshaw Sarkari Dds A Dental Corporation Dentist 2306 E 7th St, Long Beach, CA 90804-4619 2015-10-27
1487020293 Anina Larez Dentist 3481 E Curry St, Long Beach, CA 90805-3815 2015-08-15
1174926281 Jocelynn Vida Sustaita Dentist 141 E Willow St, Long Beach, CA 90806-2633 2014-10-02
1245652270 Nguyen and Ghazal Dental Corporation Dentist 5533-a East Stearns Street, Long Beach, CA 90815 2014-01-10
1164859096 Hyung T Kim Dds Inc. Dentist 130 W. Anaheim Street, Long Beach, CA 90813-3113 2013-10-10
1104258805 Scott Craig Bohlke Dentist 5175 E. Pacific Coast Hwy., Suite 401, Long Beach, CA 90804-3313 2013-08-05
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Competitor

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City LONG BEACH
Zip Code 46360

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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