Mark Allen Roettger in Lake Elmo - Dentist
Mark Allen Roettger - NPI 1356325906
Mark Allen Roettger is a Dentist in Lake Elmo, Minnesota. Mark Allen Roettger practices all healthcare services and medical treatments related to Dentist. The NPI Number for Mark Allen Roettger is 1356325906. The last update date is 2011-05-11.
Mark Allen Roettger's current location address is 12425 55th Street N, Lake Elmo, Minnesota. You can contact this provider via phone number 6514390322 and fax number 6514392201. The mailing address for Mark Allen Roettger is 12425 55th Street N, Lake Elmo, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Allen Roettger |
|---|---|
| Address | 12425 55th Street N, Lake Elmo, Minnesota |
| Phone Number | 6514390322 |
| Fax Number | 6514392201 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1356325906 |
|---|---|
| Provider Enumeration Date | 2005-12-06 |
| Last Updated Date | 2011-05-11 |
Provider Mailing Address Detail
| Address | 12425 55th Street N |
|---|---|
| City | Lake Elmo |
| State | Minnesota (MN) |
| Post Code | 550424450 |
| Phone Number | 6514390322 |
| Fax Number | 6514392201 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 9426 |
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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 identifier code issued to Mark Allen Roettger by the Centers for Medicare & Medicaid Services?
The Mark Allen Roettger has been assigned the NPI (National Provider Identifier) 1356325906. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
What is the unique 10-digit identifier code issued to Mark Allen Roettger by the Centers for Medicare & Medicaid Services?
The Mark Allen Roettger has been assigned the NPI (National Provider Identifier) 1356325906 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
What is Mark Allen Roettger's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mark Allen Roettger's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
What is Mark Allen Roettger's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mark Allen Roettger is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.
On what date was the 1356325906 assigned to Mark Allen Roettger?
The Mark Allen Roettger was issued its 1356325906 on 2005-12-06, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
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