DR. KENNETH S ROTSKOFF


Address: 1034 S Brentwood Blvd, Suite 1010, Saint Louis, MO 63117-1223
Phone: 3147211010

DR. KENNETH S ROTSKOFF (NPI# 1578777280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578777280
Entity Type Individual
Full Name DR. KENNETH S ROTSKOFF
Credential MD,DDS
Practice Address 1034 S Brentwood Blvd
Suite 1010
Saint Louis
MO 63117-1223
Practice Telephone 3147211010
Mailing Telephone 3147211010
Enumeration Date 2007-05-10
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 204E00000X Oral & Maxillofacial Surgery 011149 MO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MO DENTAL LICENSE 011149 01

Office Location

Street Address 1034 S BRENTWOOD BLVD
SUITE 1010
City SAINT LOUIS
State MO
Zip Code 63117-1223

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720082233 Levi S Kirkland Jr. Surgery 1034 S Brentwood Blvd, Suite 694, Saint Louis, MO 63117-1223 2005-06-13
1770028953 Christina Cammon Nurse Practitioner 1034 S Brentwood Blvd, Suite 516, Saint Louis, MO 63117-1223 2016-12-27
1396289468 Natalie Beth Antin Social Worker 1034 S Brentwood Blvd, Suite 555, Saint Louis, MO 63117-1223 2016-12-08
1417490772 Patrick Alan Behnke Nurse Practitioner 1034 S Brentwood Blvd, Suite 600, Saint Louis, MO 63117-1223 2016-11-18
1457803611 St Louis Trauma Counseling LLC Social Worker 1034 S Brentwood Blvd, Suite 555, Saint Louis, MO 63117-1223 2016-11-03
1912459439 360 Health Care, LLC In Home Supportive Care 1034 S Brentwood Blvd, Suite 450a, Saint Louis, MO 63117-1223 2016-11-01
1083162416 John Petrovich Specialist 1034 S Brentwood Blvd, Suite 450a, Saint Louis, MO 63117-1223 2016-09-14
1609320076 Allyson Graves Speech-Language Pathologist 1034 S Brentwood Blvd, #300, Saint Louis, MO 63117-1223 2016-08-15
1609237718 Christine Shore-fitzgerald Social Worker 1034 S Brentwood Blvd, Suite 555, Saint Louis, MO 63117-1223 2016-03-16
1164883518 St. Louis Dbt, LLC Social Worker 1034 S Brentwood Blvd, Suite 555, Saint Louis, MO 63117-1223 2016-03-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255956611 Efehi Kelly Ogbomo Student in an Organized Health Care Education/Training Program 6420 Clayton Rd, Suite 2218, St. Louis, MO 63117 2020-06-11
1619533890 Abdul Rauf Student in an Organized Health Care Education/Training Program 6420 Clayton Road. Ssm Health St. Mary's Hospital, St. Louis, MO 63117 2019-05-14
1083278477 Mohamed Maali Gumaa Mohamed Student in an Organized Health Care Education/Training Program 6420 Clayton Road Ssm St. Mary's Hospital, Department of Internal Medicine, St. Louis, MO 63117 2019-05-01
1750945556 Samrat Jun Jayanth Student in an Organized Health Care Education/Training Program 6420 Clayton Road, Ssm Health St Mary's Hospital, St. Louis, MO 63117 2019-04-26
1215491329 Latonya Allen Counselor 1612 S. Big Bend Blvd, St. Louis, MO 63117 2019-01-23
1265917025 Blue Stars Therapy, LLC Occupational Therapist 1101 Edward Terrace, Apt A, St. Louis, MO 63117 2018-09-27
1770060014 Ultra Care Home Services LLC Home Health 7353 Dale Ave, Saint Louis, MO 63117 2018-07-19
1235623562 Melissa Valerie Taylor Counselor Psychological Services of St Louis, LLC, 7110 Oakland Ave, St Louis, MO 63117 2018-06-20
1124517289 Jideofor Ebony Obodozie Student in an Organized Health Care Education/Training Program 6420 Clayton Road, Ssm St. Mary's Hospital, St. Louis, MO 63117 2018-05-04
1770071706 Sivaram Prabhuji Muppaneni Student in an Organized Health Care Education/Training Program Ssm St Mary's Hospital, 6420 Clayton Road, St. Louis, MO 63117 2018-04-25
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Taxonomy Information

Taxonomy Code 204E00000X
Grouping Allopathic & Osteopathic Physicians
Classification Oral & Maxillofacial Surgery

Taxonomy Definition

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790849834 Edward Steven Czebrinski Oral & Maxillofacial Surgery 77 Westport Plaza Medical Center, Suite 356, Saint Louis, MO 63146 2006-12-21
1376607416 Edward S Czebrinski Dmd PC Oral & Maxillofacial Surgery 77 Westport Plaza Medical Center, Suite 356, Saint Louis, MO 63146 2006-12-21
1063435089 William D Gay Oral & Maxillofacial Surgery 517 S Euclid Ave, 8th Floor, Saint Louis, MO 63110-1007 2006-07-25
1801885314 Allen Sclaroff Oral & Maxillofacial Surgery 1 Barnes Jewish Hospital Plz, Suite 16432, Saint Louis, MO 63110-1003 2005-10-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1609162189 Rebecca Lindsay Grammer Oral & Maxillofacial Surgery 1034 S. Brentwood, Suite 1010, St. Louis, MO 63117-1210 2011-06-23
1659538973 Michael J Pernoud Dds PC Oral & Maxillofacial Surgery 1015 Washington Sq Ste F, Washington, MO 63090-5307 2008-05-22
1912173592 John O'connor Heiman Oral & Maxillofacial Surgery 4545 Wornall Rd, # 608, Kansas City, MO 64111-3270 2008-05-05
1730222647 Matthew W Sheffer Oral & Maxillofacial Surgery 5227 S Main St Ste B, Joplin, MO 64804-4938 2007-02-14
1558415075 Roberet L Ward Oral & Maxillofacial Surgery 1325 N Mt Auburn Rd, Cape Giraedeau, MO 63701 2007-01-22
1063593838 Eugenio G Herbosa Oral & Maxillofacial Surgery 12818 Tesson Ferry Road, Suite 204, St Louis, MO 63128 2006-10-18
1912019290 David M Ivey Dds PC Oral & Maxillofacial Surgery One Mid Rivers Mall Dr, Ste 310, St Peters, MO 63376-4323 2006-08-31
1285017806 Marion Harris Oral & Maxillofacial Surgery 2301 Holmes St, Kansas City, MO 64108-2640 2015-06-30
1851618847 Aosdi, Glenn J Makowski, Dmd, Md, PC Oral & Maxillofacial Surgery 2602 Cunningham Ave, Joplin, MO 64804-1542 2010-04-29
1699901868 Thaer Daifallah Oral & Maxillofacial Surgery 2301 Holmes St, Kansas City, MO 64108-2640 2009-06-02
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Competitor

Search similar providers

City SAINT LOUIS
Zip Code 63117

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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