Individual
DR. JERRY JASON ROTELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
8974 COLUMBIA RD, LOVELAND, OH 45140-1114
(513) 683-5405
(513) 683-0405
Mailing address
8974 COLUMBIA RD, LOVELAND, OH 45140-1114
(513) 683-5405
(513) 683-0405
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17966
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17966
STATE DENTAL LICENSE NUMB
OH
Enumeration date
03/13/2007
Last updated
07/08/2007
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