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LARRY D ROTHENBERGER INC NPI 1578940409


NPI Information

NPI: 1578940409
Provider Name: LARRY D ROTHENBERGER, INC

Other Name: AETHETICS AND FAMILY DENTAL

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1253 S JACKSON ST
FRANKFORT, IN
ZIP 46041
Phone: (765) 659-3351
Get Directions

LARRY D ROTHENBERGER, INC is a general practice dentist in Frankfort, 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. LARRY D ROTHENBERGER, INC NPI is 1578940409. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Aethetics And Family Dental.

The provider's business location address is:

1253 S JACKSON ST
FRANKFORT, IN
ZIP 46041-312
Phone: (765) 659-3351
Fax: (765) 659-9037

The provider's authorized official is Vicki Rutledge .
The authorized official title is Practice Manager/dental Hygienist and has the following contact phone number (765) 659-3351.

The enumeration date for this NPI number is 4/29/2015 and was last updated on 4/29/2015.


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
11223G0001XDentistGeneral Practice12007174AINDIANAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1100082810AMEDICAIDINDIANA

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: 5/5/2024

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