| Roger G. Ettel Dds And Associates, Pa | |
|
4801 Hwy 61 N. Suite 300 White Bear Lake MN 55110-2753 | |
| (651) 429-2299 | |
| Not Available |
| Full Name | Roger G. Ettel Dds And Associates, Pa |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 4801 Hwy 61 N., White Bear Lake, Minnesota |
| Authorized Official Name and Position | Connie A Lee (PERIODONTIST) |
| Authorized Official Contact | 6514292299 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roger G. Ettel Dds And Associates, Pa 4801 Hwy 61 N. Suite 300 White Bear Lake MN 55110 Ph: (651) 429-2299 | Roger G. Ettel Dds And Associates, Pa 4801 Hwy 61 N. Suite 300 White Bear Lake MN 55110-2753 Ph: (651) 429-2299 |
| NPI Number | 1508300252 |
|---|---|
| Provider Enumeration Date | 12/15/2016 |
| Last Update Date | 12/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508300252 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | D13190 (Minnesota) | Primary |
Century College Dental Hygiene Program Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3300 Century Ave N, East Campus - Dental Clinic, White Bear Lake, MN 55110 Phone: 651-779-3983 Fax: 651-779-3401 | |
Birch Lake Dental Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2641 White Bear Parkway, White Bear Lake, MN 55110 Phone: 651-429-0404 Fax: 651-429-0472 | |
Oakwood Dental Group, Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4100 Bellaire Ave, White Bear Lake, MN 55110 Phone: 651-426-0038 Fax: 651-653-9923 | |
Roger G. Ettel D.d.s. & Associates, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4801 Highway 61 N # Su-300, White Bear Lake, MN 55110 Phone: 651-429-2299 Fax: 651-429-6630 | |
Healthpartners White Bear Dental Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1430 Highway 96 E, White Bear Lake, MN 55110 Phone: 651-426-9502 Fax: 651-653-2158 | |
Signature Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2126 5th St, White Bear Lake, MN 55110 Phone: 651-426-9986 Fax: 651-653-4653 | |
White Bear Smiles, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4778 Banning Ave, White Bear Lake, MN 55110 Phone: 651-426-8998 |