Individual
DR. MATTHEW D ROGGENSACK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7001 OLD SAUK RD, MADISON, WI 53717-2308
(608) 833-2578
Mailing address
802 HURON HL, MADISON, WI 53711-2908
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4914-015
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33744400
—
WI
Enumeration date
06/02/2006
Last updated
07/09/2007
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