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Deactivated NPI 1871704411 Deactivated / Inactive NPI Male Practitioner

Dr. Robert J Roetker , DDS

Dentist - General Practice • Lafayette, IN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Robert Roetker has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 25, 2007
NPI Deactivation Date May 01, 2024
Total Practice Duration ~17 Years of Practice (2007 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Robert Roetker, DDS was a registered Dentist - General Practice practicing in Lafayette, IN. Throughout an active medical career spanning 17 years, Dr. Roetker provided care at the practice location at 2433 S 9TH ST until profile deactivation on 2024-05-01.

Practice Location & Contact Primary Location

Practice Address

2433 S 9th St

Lafayette, IN 479092407

Telephone 7654745033

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Lafayette, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 4.0 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
49 Specialists

Practicing in Lafayette, IN (2204 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IN 12005334B

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated May 01, 2024

Record deactivated on May 01, 2024

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 2433 S 9TH ST, LAFAYETTE, IN 479092407 (Tel: 7654745033)

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Updated Business Mailing Address July 08, 2007

Registered at 2433 S 9TH ST, LAFAYETTE, IN 479092407 (Tel: 7654745033)

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Provider Name / Credentials Updated July 08, 2007

Recorded as ROBERT ROETKER, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #12005334B in IN)

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Initial NPI Registration & Enumeration May 25, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1871704411
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 25, 2007
Last Update: July 08, 2007
Deactivation Date: May 01, 2024

Mailing Address

2433 S 9th St

Lafayette, IN 479092407

Phone: 7654745033

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.