Roger G. Ettel D.D.S. & Associates, Pa in White Bear Lake - Periodontics
Roger G. Ettel D.D.S. & Associates, Pa - NPI 1194887521
Roger G. Ettel D.D.S. & Associates, Pa is a Periodontics in White Bear Lake, Minnesota. Roger G. Ettel D.D.S. & Associates, Pa practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Roger G. Ettel D.D.S. & Associates, Pa is 1194887521. The last update date is 2008-07-30.
Roger G. Ettel D.D.S. & Associates, Pa's current location address is 4801 Highway 61 N # Su-300, White Bear Lake, Minnesota. You can contact this provider via phone number 6514292299 and fax number 6514296630. The mailing address for Roger G. Ettel D.D.S. & Associates, Pa is 4801 Highway 61 N # Su-300, White Bear Lake, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Roger G. Ettel D.D.S. & Associates, Pa |
|---|---|
| Address | 4801 Highway 61 N # Su-300, White Bear Lake, Minnesota |
| Phone Number | 6514292299 |
| Fax Number | 6514296630 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Ettel G Roger |
| Credentials | D.D.S.,M.S |
| Telephone Number | 6514292299 |
NPI Number Detail
| NPI Number | 1194887521 |
|---|---|
| Provider Enumeration Date | 2006-12-14 |
| Last Updated Date | 2008-07-30 |
Provider Mailing Address Detail
| Address | 4801 Highway 61 N # Su-300 |
|---|---|
| City | White Bear Lake |
| State | Minnesota (MN) |
| Post Code | 551102737 |
| Phone Number | 6514292299 |
| Fax Number | 6514296630 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 1223PO300X |
|
Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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Post Comment/ Review Below
What is the Roger G. Ettel D.D.S. & Associates, Pa's unique identification number?
The Roger G. Ettel D.D.S. & Associates, Pa has been assigned the NPI (National Provider Identifier) Number 1194887521 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Roger G. Ettel D.D.S. & Associates, Pa located?
The Roger G. Ettel D.D.S. & Associates, Pa is located at 4801 Highway 61 N # Su-300, White Bear Lake, MN 551102737.
What is the Roger G. Ettel D.D.S. & Associates, Pa's specialty and taxonomy code?
The Roger G. Ettel D.D.S. & Associates, Pa's specialty is Periodontics, and the corresponding taxonomy code is 1223P0300X.
On what date was the 1194887521 assigned to Roger G. Ettel D.D.S. & Associates, Pa?
The Roger G. Ettel D.D.S. & Associates, Pa was issued its 1194887521 on 2006-12-14, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Roger G. Ettel D.D.S. & Associates, Pa's information last updated?
The Roger G. Ettel D.D.S. & Associates, Pa's information was last updated on 2008-07-30.
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