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DR. NORMAN DAVID ROTBLAT DDS MS
NPI 1407961857
Dentist - Oral and Maxillofacial Surgery in Fon Du Lac, WI

Active since August 19, 2006
545 EAST JOHNSON STREET, FON DU LAC, WI 54935(920) 924-9090(920) 921-0800 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Norman David Rotblat Dds Ms NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NORMAN DAVID ROTBLAT DDS MS (NPI 1407961857) is an individual oral and maxillofacial surgery provider in Fon Du Lac, Wisconsin, licensed in Illinois (215606) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1407961857
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. NORMAN DAVID ROTBLATCredential: DDS MS
Location Address545 EAST JOHNSON STREETFon Du Lac, WI 54935
Mailing Address1142 Oakwood DriveFreeport, IL 61032-3725 · (815) 235-4517 · Fax (815) 235-4842
Phone(920) 924-9090
Fax(920) 921-0800
Sole ProprietorNo
Enumeration DateAugust 19, 2006
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1407961857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses✔ Licensed in IL · 215606✔ Licensed in WI · 5001508015
Definition
An oral and maxillofacial surgery dentist specialized in 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.
Also ListedDentist · General PracticeTaxonomy 1223G0001X
545 EAST JOHNSON STREET, Fon Du Lac, WI 54935
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Other Identifiers 1

Medicaid33771100WI

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Norman Rotblat's NPI number?

The NPI number for Norman Rotblat is 1407961857. It was assigned to this individual provider in the NPPES registry on August 19, 2006.

Where is Norman Rotblat located?

Norman Rotblat practices at 545 East Johnson Street, Fon Du Lac, WI 54935. The listed phone number is (920) 924-9090.

What is Norman Rotblat's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Norman Rotblat was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.