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Active NPI 1720179823 Individual Practitioner Male Practitioner

Dr. Emanuel James Rothis , DDS

Dentist - General Practice • Eastpointe, MI

Professional Overview & Biography Verified Profile Summary

Dr. Emanuel Rothis, DDS is a registered healthcare professional specializing in Dentist - General Practice in Eastpointe, MI. Practice services are available at 22770 KELLY RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

22770 Kelly Rd

Eastpointe, MI 480212009

Telephone 5867750520
Fax 5867752670
Associated Practice Facility / Clinic
🏢 Paul E Marcuz D.d.s.,p.c. Facility NPI 1073790200

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Eastpointe, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.8 Yrs
Regional Practice Density
28 Specialists

Practicing in Eastpointe, MI (4360 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 MI 2901007533

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
4012430 (MI)
Commercial Insurance / Payer ID First Commonwealth Id #
053109 (MI)
Commercial Insurance / Payer ID Fortis Id Number
0002091 (MI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Paul Marcuz , DDS

Dentist - General Practice

NPI 1831280908

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 22770 KELLY RD, EASTPOINTE, MI 480212009 (Tel: 5867750520)

📍
Updated Business Mailing Address July 09, 2007

Registered at 22770 KELLY RD, EASTPOINTE, MI 480212009 (Tel: 5867750520)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as EMANUEL ROTHIS, D.D.S

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Dentist (License #2901007533 in MI)

🟢
Initial NPI Registration & Enumeration September 27, 2006

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: 1720179823
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 27, 2006
Last Update: July 09, 2007
Sole Proprietor: No

Mailing Address

22770 Kelly Rd

Eastpointe, MI 480212009

Phone: 5867750520

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.