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NPI Code Detail

MEDICARE: NANCY ROTROFF DDS

MEDICARE:   NANCY  ROTROFF  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentistDN10611FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1DN10611OTHERFLDENTAL LICENSE

General Provider Information

NPI Number : 1124138797
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANCY ROTROFF DDS
Provider Business Mailing Address
First Line : 2480 EAST COMMERCIAL BLVD
Second Line : SUITE 2
City : FORT LAUDERDALE
State : FL
Zip : 33308
Country : US
Telephone Number : 954-928-1666
Fax Number : 954-928-1895
Provider Business Practice Location Address
First Line : 2480 EAST COMMERCIAL BLVD
Second Line : SUITE 2
City : FORT LAUDERDALE
State : FL
Zip : 33308
Country : US
Telephone Number : 954-928-1666
Fax Number : 954-928-1895
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2006
Last Update Date : 03/07/2023

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Directions to “ NANCY ROTROFF DDS” Practice Location

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