| John Rottschalk, Dmd, Pc | |
|
959 Lincoln Hwy Fairview Heights IL 62208-2234 | |
| (618) 624-3838 | |
| Not Available |
| Full Name | John Rottschalk, Dmd, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 959 Lincoln Hwy, Fairview Heights, Illinois |
| Authorized Official Name and Position | John L. Rottschalk (OWNER) |
| Authorized Official Contact | 6186243838 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John Rottschalk, Dmd, Pc 959 Lincoln Hwy Fairview Heights IL 62208-2234 Ph: (618) 624-3838 | John Rottschalk, Dmd, Pc 959 Lincoln Hwy Fairview Heights IL 62208-2234 Ph: (618) 624-3838 |
| NPI Number | 1336354539 |
|---|---|
| Provider Enumeration Date | 05/11/2007 |
| Last Update Date | 10/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336354539 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019024742 (Illinois) | Primary |
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