Individual
DR. NORMAN DAVID ROTBLAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MS
Contact information
Practice address
545 EAST JOHNSON STREET, FON DU LAC, WI 54935
(920) 924-9090
(920) 921-0800
Mailing address
1142 OAKWOOD DRIVE, FREEPORT, IL 61032-3725
(815) 235-4517
(815) 235-4842
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
IL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
215606
IL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
5001508015
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33771100
—
WI
Enumeration date
08/19/2006
Last updated
09/11/2025
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