Paul A Roggow Dds Pc in Jackson - Dentist
Paul A Roggow Dds Pc - NPI 1699817437
Paul A Roggow Dds Pc is a Dentist in Jackson, Minnesota. Paul A Roggow Dds Pc practices all healthcare services and medical treatments related to Dentist. The NPI Number for Paul A Roggow Dds Pc is 1699817437. The last update date is 2020-08-22.
Paul A Roggow Dds Pc's current location address is 604 Second Street, Jackson, Minnesota. You can contact this provider via phone number 5078473910 and fax number 5078472868. The mailing address for Paul A Roggow Dds Pc is 604 Second Street, Jackson, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Paul A Roggow Dds Pc |
|---|---|
| Address | 604 Second Street, Jackson, Minnesota |
| Phone Number | 5078473910 |
| Fax Number | 5078472868 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER DENT |
|---|---|
| Authorized Official Name | Roggow Anthony Paul |
| Credentials | DDS |
| Telephone Number | 5078473910 |
NPI Number Detail
| NPI Number | 1699817437 |
|---|---|
| Provider Enumeration Date | 2007-02-12 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 604 Second Street |
|---|---|
| City | Jackson |
| State | Minnesota (MN) |
| Post Code | 561431646 |
| Phone Number | 5078473910 |
| Fax Number | 5078472868 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 9644 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique identification code assigned to Paul A Roggow Dds Pc by the Centers for Medicare & Medicaid Services?
The Paul A Roggow Dds Pc has been issued the NPI (National Provider Identifier) 1699817437. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Paul A Roggow Dds Pc?
The Paul A Roggow Dds Pc is physically situated at 604 Second Street, in the city of Jackson, state of MN, with the postal code 561431646.
What is the Paul A Roggow Dds Pc's specialty and taxonomy code?
The Paul A Roggow Dds Pc's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1699817437 to Paul A Roggow Dds Pc?
The Paul A Roggow Dds Pc received its 1699817437 assignment from the Centers for Medicare & Medicaid Services on 2007-02-12.
As of what date were the details pertaining to Paul A Roggow Dds Pc last refreshed?
The information related to the Paul A Roggow Dds Pc, including its address, specialty, and other relevant details, was last updated on 2020-08-22.