Roszkowski, Matthew J

Roszkowski, Matthew J is an individual health care provider with primary practice located at 2500 Como Ave , St Paul MN 55108. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Roszkowski, Matthew J can be contacted via phone (651) 999-4600.

Contact Information

Primary practice address
2500 Como Ave St Paul MN 55108
Phone: (651) 999-4600
Fax: (651) 632-8984
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 9337 Minnesota

Profile Details

NPI number 1134225469
LBN Legal business name Roszkowski, Matthew J
Credentials DDS MS
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134225469 NPPES
Minnesota MEDICAID 935020900

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