DR. KEITH STEVEN ROTTMAN DDS NPI 1912063025

NPI Information

  • NPI: 1912063025
  • Provider Name: DR. KEITH STEVEN ROTTMAN, DDS
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Individual
  • Address: 8140 SECOR RD
    LAMBERTVILLE, MI
    ZIP 48144
  • Phone: (734) 854-2685

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NPI Details

DR. Keith Steven Rottman, DDS is an oral and maxillofacial surgery dentist in Lambertville, MI. The provider is an oral and maxillofacial surgery dentist specialized in 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. DR. Keith Steven Rottman, DDS NPI is 1912063025. 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:

8140 SECOR RD
LAMBERTVILLE, MI
ZIP 48144-673
Phone: (734) 854-2685
Fax: (734) 854-2687

The enumeration date for this NPI number is 1/1/2007 and was last updated on 12/4/2008.

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
11223S0112XDentistOral and Maxillofacial Surgery30017878OHIONo
21223S0112XDentistOral and Maxillofacial Surgery019018808ILLINOISNo
31223S0112XDentistOral and Maxillofacial Surgery2901013501MICHIGANYes

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
10585102MEDICAIDOHIO
2RO0850141MEDICARE ID-TYPE UNSPECIFIEDOHIO

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: 3/30/2025

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