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

Dr. Norman David Rotblat, DDSMS

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1407961857

Dr. Norman David Rotblat, DDSMS is an Oral and Maxillofacial Surgery (Dentist) in Fon Du Lac, Wisconsin. Licensed in Illinois and Wisconsin. Registered with an NPI since 2006.

Licensed in
IL, WI
In the registry since
2006
Specialties on file
3

Practice location Address checks out

545 E Johnson St
Fon Du Lac, WI 54935
Phone: (920) 924-9090
Fax: (920) 921-0800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 215606 (IL)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 5001508015 (WI)
General Practice Dentistry Taxonomy 1223G0001X (IL)

Record details

NPI number1407961857
Entity typeIndividual (Type 1)
GenderMale
Credentials DDSMS
Sole proprietorNo
NPI enumeratedAugust 19, 2006
Last updated in NPPESSeptember 11, 2025