Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Dr. Mark Allen Roettger, DDS
Dentist in Lake Elmo, MN · enumerated 2005.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1356325906
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Registry record
Entity type Individual (Type 1)
Name Dr. Mark Allen Roettger
Credential DDS
Sex Male
Practice address 12425 55th Street N, Suite B, Lake Elmo, MN, 55042
Phone (651) 439-0322
Fax (651) 439-2201
Enumeration date Dec 6, 2005
Last updated in NPPES May 11, 2011
Taxonomy & licenses
DDS · Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees.
About the DDS credential
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
What is the NPI number for Mark Roettger?
The National Provider Identifier (NPI) for Mark Roettger is 1356325906, a Type 1 (individual) record in the CMS NPPES registry.
Where does Mark Roettger practice?
The practice location on file with NPPES is in Lake Elmo, MN. Providers can have multiple locations; NPPES lists the primary practice address.
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-05-11.