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DR. KENNETH S ROTSKOFF MDDDS NPI 1578777280


NPI Information

NPI: 1578777280
Provider Name: DR. KENNETH S ROTSKOFF, MD,DDS
Classification: Oral & Maxillofacial Surgery - 204E00000X
Entity Type: Individual
Address:
1034 S BRENTWOOD BLVD
SUITE 1010
SAINT LOUIS, MO
ZIP 63117
Phone: (314) 721-1010
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DR. Kenneth S Rotskoff, MD,DDS is an oral maxillofacial surgery in Saint Louis, MO. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. DR. Kenneth S Rotskoff, MD,DDS NPI is 1578777280. 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:

1034 S BRENTWOOD BLVD
SUITE 1010
SAINT LOUIS, MO
ZIP 63117-223
Phone: (314) 721-1010

The enumeration date for this NPI number is 5/10/2007 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1204E00000XOral & Maxillofacial Surgery011149MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1011149OTHERMISSOURIDENTAL LICENSE
2T84790MEDICARE UPIN

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

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