Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Roger G. Ettel DDS & Associates, PA

Organization Periodontics · NPI 1194887521

Roger G. Ettel DDS & Associates, PA is a Periodontics in White Bear Lake, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4801 Highway 61 N # SU-300
White Bear Lake, MN 55110-2737
Phone: (651) 429-2299
Fax: (651) 429-6630
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 1223PO300X (MN)

Record details

NPI number1194887521
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roger Ettel — Owner · (651) 429-2299
NPI enumeratedDecember 14, 2006
Last updated in NPPESJuly 30, 2008
Mailing address4801 Highway 61 N # Su-300, White Bear Lake, MN 55110-2737

Other providers in White Bear Lake