Active NPI
Rottschalk Dental LLC
- Dentist
- Fairview Heights, IL
National Provider Identifier
1487574455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- ROTTSCHALK DENTAL LLC
- Practice address
- 959 Lincoln Hwy
Fairview Heights, IL 62208-2234 - Phone
- (618) 624-3838
- NPI assigned
- Jul 20, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Diana Lifritz
- Title
- Director of HR
- Phone
- (618) 873-7500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
959 Lincoln Hwy
Fairview Heights, IL 62208-2234
Mailing address
1922 Edwardsville Club Plaza CT
Edwardsville, IL 62025-3717
Phone (618) 624-3838
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Fairview Heights, IL
- NPI 1407198765
-
- General Practice Dentistry
- Fairview Heights, IL
- NPI 1164560710
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784505600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784505600000",
"number": "1487574455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1922 EDWARDSVILLE CLUB PLAZA CT",
"city": "EDWARDSVILLE",
"state": "IL",
"postal_code": "620253717",
"telephone_number": "618-624-3838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "959 LINCOLN HWY",
"city": "FAIRVIEW HEIGHTS",
"state": "IL",
"postal_code": "622082234",
"telephone_number": "618-624-3838"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROTTSCHALK DENTAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-07-20",
"last_updated": "2026-07-20",
"certification_date": "2026-07-19",
"status": "A",
"authorized_official_last_name": "LIFRITZ",
"authorized_official_first_name": "DIANA",
"authorized_official_title_or_position": "DIRECTOR OF HR",
"authorized_official_telephone_number": "618-873-7500"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairview Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.