Roger G. Ettel D.D.S. & Associates, PA
NPI 1194887521ActiveOrganization· Dentist, Periodontics· White Bear Lake, MN
Dentist, Periodontics in White Bear Lake, Minnesota, registered in NPPES in December 2006. The authorized official on file is Roger G. Ettel, D.D.S.,M.S., Owner.
Overview
| NPI | 1194887521 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 14, 2006 |
| Last updated in NPPES | Jul 30, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Periodontics Primary | 1223P0300X | 1223PO300X | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other periodontists in White Bear Lake
- 1912069402
- 1508300252
- 1770744146
- 1760657795