| Paul A Roggow Dds Pc | |
|
604 Second Street Jackson MN 56143-1646 | |
| (507) 847-3910 | |
| (507) 847-2868 |
| Full Name | Paul A Roggow Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 604 Second Street, Jackson, Minnesota |
| Authorized Official Name and Position | Paul Anthony Roggow (OWNER DENTIST) |
| Authorized Official Contact | 5078473910 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paul A Roggow Dds Pc 604 Second Street Jackson MN 56143-1646 Ph: (507) 847-3910 | Paul A Roggow Dds Pc 604 Second Street Jackson MN 56143-1646 Ph: (507) 847-3910 |
| NPI Number | 1699817437 |
|---|---|
| Provider Enumeration Date | 02/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699817437 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 9644 (Minnesota) | Primary |
The Dental Office Jackson Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 604 2nd St, Jackson, MN 56143 Phone: 507-847-3910 Fax: 507-847-2868 | |
Chad Brown, D.d.s., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 604 2nd St, Jackson, MN 56143 Phone: 507-847-3910 |