NPI 1578777280

Kenneth S Rotskoff, MDDDS

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Saint Louis, MO

Practice location

Address: 1034 S Brentwood Blvd Suite 1010, Saint Louis, MO 63117-1223
Phone: (314) 721-1010

Registered specialties

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 011149 (MO)

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Registry record

NPI: 1578777280
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 May 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.