IndividualActive
Jack Madsen, DDS
NPI 1447956883 · Oral and Maxillofacial Surgery (Dentist) · Rochester, MN
Provider details
- NPI number
- 1447956883
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- D14891 (MN)
Specialties & taxonomies
Dental Providers
Practice location
200 1st St Sw
Rochester, MN 55905-0001
Phone: (507) 284-2511
Approximate (ZIP-level) locationGet directions
Mailing address
200 1st St Sw
Rochester, MN 55905-0001
Registry dates
- Enumerated
- 2023-02-07
- Last updated
- 2023-06-05
- Certified
- 2023-06-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.