Richard Mark Rotchstein, D.D.S

Individual provider Active NPI General Practice Dentistry · Weddington, NC

NPI 1992816425 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1992816425
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
6262 (NC)
Practice address
13721 Providence Rd
Weddington, NC 28104-8615
Phone
(704) 849-0822
Fax
(704) 849-0219
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
6262NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Richard M. Rotchstein,D.D.S. & Christopher W. Wasulko D.M.D. General Practice Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6262 NC Yes

Addresses

Primary practice location

13721 Providence Rd
Weddington, NC 28104-8615

Mailing address

13721 Providence Rd
Weddington, NC 28104-8615
Phone (704) 849-0822

Other providers in Weddington, NC

All providers in Weddington, NC · General Practice Dentistry in North Carolina

Sources for this page

Verify at the official NPI Registry.