Kenneth P. Rottman, D.D.S.

General Practice Dentistry · Long Beach, IN

Individual Active NPI

NPI number 1891091161

Practice location

2933 Lake Shore Dr
Long Beach, IN 46360-1705
Phone
(219) 874-1076
Fax
(219) 879-8030

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NPI record

NPI
1891091161
Entity type
Individual (Type 1)
Enumeration date
February 4, 2011
Last updated
February 4, 2011
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 12009645A IN

About Dr. Rottman

Kenneth P. Rottman, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 2933 Lake Shore Dr, Long Beach, IN 46360-1705. The NPI number 1891091161 was assigned on February 4, 2011 and the record was last updated on February 4, 2011.

Dr. Rottman lists a license in the registry: #12009645A (IN) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kenneth P. Rottman, D.D.S.?

The NPI number is 1891091161.

What is the phone number of Dr. Rottman?

The phone number listed for the practice location is (219) 874-1076.

Where is Dr. Rottman located?

2933 Lake Shore Dr, Long Beach, IN 46360-1705.

What is the taxonomy code for Dr. Rottman?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.