Roger Joseph Bromaghim, D.D.S.

General Practice Dentistry · Big Lake, MN

Individual Active NPI

NPI number 1902937782

Practice location

16991 198TH Avenue NW
Big Lake, MN 55309-0249
Phone
(763) 263-6350
Fax
(763) 263-0136

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NPI record

NPI
1902937782
Entity type
Individual (Type 1)
Enumeration date
March 7, 2007
Last updated
July 9, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X D9355 MN

Mailing address

16991 198TH Avenue NW
PO Box 249
Big Lake, MN 55309-0249
Phone
(763) 263-6350
Fax
(763) 263-0136

About Dr. Bromaghim

Roger Joseph Bromaghim, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 16991 198TH Avenue NW, Big Lake, MN 55309-0249. The NPI number 1902937782 was assigned on March 7, 2007 and the record was last updated on July 9, 2007.

Dr. Bromaghim lists a license in the registry: #D9355 (MN) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Roger Joseph Bromaghim, D.D.S.?

The NPI number is 1902937782.

What is the phone number of Dr. Bromaghim?

The phone number listed for the practice location is (763) 263-6350.

Where is Dr. Bromaghim located?

16991 198TH Avenue NW, Big Lake, MN 55309-0249.

What is the taxonomy code for Dr. Bromaghim?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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