IndividualActive
Paul Roggow, D.D.S.
NPI 1285978221 · Dentist · Jackson, MN
Provider details
- NPI number
- 1285978221
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- License
- 9644 (MN)
Specialties & taxonomies
Dental Providers
Practice location
604 Second Street
Jackson, MN 56143
Phone: (507) 847-3910
Fax: (507) 847-2868
Approximate (ZIP-level) locationGet directions
Mailing address
604 Second Street
Jackson, MN 56143
Registry dates
- Enumerated
- 2012-11-15
- Last updated
- 2012-11-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.