| Dr Matthew J Roszkowski, DDS MS | |
|
2500 Como Ave, St Paul, MN 55108 | |
| (651) 999-4600 | |
| (651) 632-8984 |
| Full Name | Dr Matthew J Roszkowski |
|---|---|
| Gender | Male |
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 2500 Como Ave, St Paul, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134225469 | NPI | - | NPPES |
| 935020900 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 9337 (Minnesota) | Primary |
| Entity Name | Group Health Plan Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Matthew J Roszkowski, DDS MS Po Box 1309, Mail Code 21113a, Minneapolis, MN 55440-1309 Ph: (952) 883-5151 | Dr Matthew J Roszkowski, DDS MS 2500 Como Ave, St Paul, MN 55108 Ph: (651) 999-4600 |
Dr. David C Watkins, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2500 Como Ave, St Paul, MN 55106 Phone: 651-641-0020 Fax: 651-632-8984 | |
Brian Carlos Monssen, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2221 Ford Pkwy, Ste 201, St Paul, MN 55116 Phone: 651-698-1242 Fax: 651-696-1858 | |
Dr. Farhad Gounili, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2500 Como Ave, St Paul, MN 55108 Phone: 651-641-0020 Fax: 651-632-8984 | |
Kurt M Sundeen, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1132 Larpenteur Ave W, St Paul, MN 55113 Phone: 651-489-0641 | |
Dr. Mary Kay Albertson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1439 Arcade Street, St Paul, MN 55106 Phone: 651-776-4766 Fax: 651-776-6622 | |
Dr. Pase Lor, DDS FICOI Dentist Medicare: Not Enrolled in Medicare Practice Location: 491 University Ave W, Suite A, St Paul, MN 55103 Phone: 651-489-3681 Fax: 651-489-4452 |