Mark Roettger, DDS
NPI 1356325906 · on the registry since 2005
Practice
- Address
- 12425 55th Street N
Suite B
Lake Elmo, MN 55042 - Phone
- (651) 439-0322
- Fax
- (651) 439-2201
- Organisation at this address
- Mahtomedi Dental P.C.
Valley Ridge Dental, Llc
Valley Ridge Dental ArtsInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-05-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota