Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Roger G. Ettel D.D.S. & Associates, PA

Periodontics in White Bear Lake, MN · enumerated 2006 · authorized official Roger Ettel, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1194887521

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Registry record

Entity type Organization (Type 2)

Legal business name Roger G. Ettel D.D.S. & Associates, PA

Practice address 4801 Highway 61 N # Su-300, White Bear Lake, MN, 55110

Phone (651) 429-2299

Fax (651) 429-6630

Enumeration date Dec 14, 2006

Last updated in NPPES Jul 30, 2008

Taxonomy & classification

1223P0300X Periodontics Dental Providers · License 1223PO300X (MN) Primary

Authorized official

Name Roger Ettel

Title Owner

Phone (651) 429-2299

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.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-07-30. Verify at npiregistry.cms.hhs.gov.

Where is Roger G. Ettel D.D.S. & Associates, PA located?

The practice location on file with NPPES is in White Bear Lake, MN.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-07-30.