Paul Anthony Roggow, DDS is a
Dentist based in Jackson, Minnesota. Paul Anthony Roggow is licensed to practice in Minnesota (license number 9644) and his current practice location is
604 Second Street, Jackson, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(507) 847-3910.
NPI number for Paul Anthony Roggow is 1285978221 and his current mailing address is 604 Second Street, Jackson, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1285978221.
Healthcare Provider's Profile
| Full Name | Paul Anthony Roggow |
|---|
| Gender | Male |
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| Speciality | Dentist |
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| Location | 604 Second Street, Jackson, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1285978221
- Provider Enumeration Date: 11/15/2012
- Last Update Date: 11/15/2012
Medical Identifiers
Medical identifiers for Paul Anthony Roggow such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285978221 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 9644 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Paul Anthony Roggow is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Paul Anthony Roggow, DDS
604 Second Street,
Jackson, MN 56143
Ph: (507) 847-3910 | Paul Anthony Roggow, DDS
604 Second Street,
Jackson, MN 56143
Ph: (507) 847-3910 |
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