DR. GAVIN CHARLES ROTHROCK DDS NPI 1881819423

NPI Information

NPI: 1881819423
Provider Name: DR. GAVIN CHARLES ROTHROCK, DDS
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
1550 S LIBERTY DR
BLOOMINGTON, IN
ZIP 47403
Phone: (812) 339-2811
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DR. Gavin Charles Rothrock, DDS is a general practice dentist in Bloomington, IN. The provider is 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. DR. Gavin Charles Rothrock, DDS NPI is 1881819423. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1550 S LIBERTY DR
BLOOMINGTON, IN
ZIP 47403-167
Phone: (812) 339-2811
Fax: (812) 961-0746

The enumeration date for this NPI number is 4/17/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	12010759	INDIANA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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