Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Bruce E Rotter, DMD

Individual provider Dentist · NPI 1043207046

Dr. Bruce E Rotter, DMD is a Dentist in Glen Carbon, Illinois. Licensed in Illinois. Registered with an NPI since 2005.

Licensed in
IL
In the registry since
2005
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

132 Crystal Gate Ln
Glen Carbon, IL 62034-1141
Phone: (618) 288-0962
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 021-001642 (IL)
Dentist Taxonomy 122300000X · Licence 019-018159 (IL)

Record details

NPI number1043207046
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedOctober 4, 2005
Last updated in NPPESApril 17, 2013

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