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

Jack G Madsen, DDS

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1447956883

Jack G Madsen, DDS is an Oral Surgery in Rochester, Minnesota. Graduated from University of Minnesota School of Dentistry in 2023, 3 years ago. Practices with Mayo Clinic, a 4,796-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
3
Trained at
University of Minnesota School of Dentistry
Licensed in
MN
In the registry since
2023
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

200 1st St SW
Rochester, MN 55905-0001
Phone: (507) 284-2511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence D14891 (MN)

Record details

NPI number1447956883
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedFebruary 7, 2023
Last updated in NPPESJune 5, 2023
Certification dateJune 5, 2023
Mailing address200 1st St Sw, Rochester, MN 55905-0001

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORAL SURGERY
Medical schoolUNIVERSITY OF MINNESOTA SCHOOL OF DENTISTRY
Graduated 2023 (3 years in practice)
Group practice Mayo Clinic — 4796 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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