Individual provider · Type 1 NPI
Norman David Rotblat, DDS MS
Oral and Maxillofacial Surgery (Dentist) · Fon Du Lac, WI
Practice location
545 East Johnson Street
Fon Du Lac, WI 54935
Fax (920) 921-0800
Mailing address
1142 Oakwood Drive
Freeport, IL 61032-3725
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 5001508015 (WI) |
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 215606 (IL) |
| General Practice Dentistry | 1223G0001X | None listed |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes 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.
About NPI 1407961857
Norman David Rotblat, DDS MS's National Provider Identifier is 1407961857, issued on Aug 19, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Fon Du Lac, WI. The record was last updated on Sep 11, 2025.