| Dr Bruce E Rotter, DMD | |
|
132 Crystal Gate Ln, Glen Carbon, IL 62034-1141 | |
| (618) 288-0962 | |
| Not Available |
| Full Name | Dr Bruce E Rotter |
|---|---|
| Gender | Male |
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 132 Crystal Gate Ln, Glen Carbon, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043207046 | NPI | - | NPPES |
| 480442 | Other | IL | HEALTHLINK INS PROV ID |
| 1420102 | Other | IL | UNITED CONCORDIA PROV ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019-018159 (Illinois) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 021-001642 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bruce E Rotter, DMD 132 Crystal Gate Ln, Glen Carbon, IL 62034-1141 Ph: (618) 288-0962 | Dr Bruce E Rotter, DMD 132 Crystal Gate Ln, Glen Carbon, IL 62034-1141 Ph: (618) 288-0962 |
Dr. Christa D Hopp, DMD Dentist Medicare: Medicare Enrolled Practice Location: 21 Glen Ed Professional Park, Glen Carbon, IL 62034 Phone: 618-656-8436 Fax: 618-656-3534 | |
Jesse Snyder, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 16 Junction Dr W Ste 101, Glen Carbon, IL 62034 Phone: 618-228-3100 | |
Dr. Kanika Yadav Ryan, Dentist Medicare: Not Enrolled in Medicare Practice Location: 22 Glen Ed Professional Park Ste B, Glen Carbon, IL 62034 Phone: 618-659-2030 | |
Dr. Yeongcheol Won, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 87 Magnolia Dr, Glen Carbon, IL 62034 Phone: 618-692-9980 | |
Cathy Evans Longos, DMD Dentist Medicare: Medicare Enrolled Practice Location: 22a Glen Ed Professional Park, Glen Carbon, IL 62034 Phone: 618-656-7615 | |
Abby Michelle Roth, Dentist Medicare: Not Enrolled in Medicare Practice Location: 21 Glen Ed Professional Park, Glen Carbon, IL 62034 Phone: 618-656-0608 |