CRAIG ANTHONY SULZDORF DDS
NPI 1083787121
Dentist - General Practice in Roseville, MN

Q: What is Craig Sulzdorf's NPI number?

The NPI number for Craig Sulzdorf is 1083787121. It was assigned to this individual provider in the NPPES registry on November 16, 2006.

Q: What is Craig Sulzdorf's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Craig Sulzdorf was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 16, 2006PECOS Enrolled

1912 LEXINGTON AVE N STE 200, ROSEVILLE, MN 55113(651) 631-3610 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Craig Anthony Sulzdorf Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRAIG ANTHONY SULZDORF DDS (NPI 1083787121) is an individual general practice provider in Roseville, Minnesota, licensed in Minnesota (9187) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083787121

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameCRAIG ANTHONY SULZDORFCredential: DDS

Location Address1912 LEXINGTON AVE N STE 200Roseville, MN 55113-6112

Mailing Address1056 Parker AveRoseville, MN 55113-6459 · (651) 487-3564

Phone(651) 631-3610

Sole ProprietorNo

Enumeration DateNovember 16, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1083787121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MN · 9187

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1912 LEXINGTON AVE N STE 200, Roseville, MN 55113

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Craig Anthony Sulzdorf Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55113 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Craig Sulzdorf's NPI number?

The NPI number for Craig Sulzdorf is 1083787121. It was assigned to this individual provider in the NPPES registry on November 16, 2006.

Where is Craig Sulzdorf located?

Craig Sulzdorf practices at 1912 Lexington Ave N Ste 200, Roseville, MN 55113. The listed phone number is (651) 631-3610.

What is Craig Sulzdorf's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Craig Sulzdorf enrolled in Medicare?

Yes. Craig Sulzdorf is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Craig Sulzdorf was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.