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Dr. Bruce E Rotter, DMD
Oral and Maxillofacial Surgery (Dentist) in Glen Carbon, Illinois
NPI 1043207046

Bruce E Rotter is a Oral and Maxillofacial Surgery (Dentist) based in Glen Carbon, IL and is specialized in Oral and Maxillofacial Surgery. Bruce E Rotter practices in Glen Carbon, IL and has the professional credentials of DMD. The NPI Number for Bruce E Rotter is 1043207046 and holds a License No. 019-018159 (Illinois).

The current practice location address for Bruce E Rotter is 132 Crystal Gate Ln, Glen Carbon, IL and can be reached out via phone at 618-288-0962.

Location: 132 Crystal Gate Ln, Glen Carbon, IL, 62034-1141
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043207046
Provider Name
Bruce E Rotter
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
132 Crystal Gate Ln, Glen Carbon, IL, 62034-1141
Phone Number
618-288-0962
Fax Number
Provider Enumeration Date
10/04/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
480442 01 IL HEALTHLINK INS PROV ID
1420102 01 IL UNITED CONCORDIA PROV ID
institution
Provider Business Practice Location Address Details
Address
132 Crystal Gate Ln
City
Glen Carbon
State
Illinois
Zip
62034-1141
Phone Number
618-288-0962
Fax Number
person
Provider Business Mailing Address Details
Address
132 Crystal Gate Ln
City
Glen Carbon
State
Illinois
Zip
62034-1141
Phone Number
618-288-0962
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
-
Taxonomy
122300000X
License No.
021-001642 (Illinois)
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
019-018159 (Illinois)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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