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DR. MARK T ROSZKOWSKI DDS
NPI 1699750802
Oral & Maxillofacial Surgery in Burnsville, MN

Active since December 09, 2005Opted out of Medicare · through Mar 20, 2027
625 E NICOLLET BLVD, STE 205, BURNSVILLE, MN 55337(952) 435-0310(952) 435-0311 Get Directions Write a Review

NPPES record last updated: July 9, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mark T Roszkowski Dds NPPES

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

DR. MARK T ROSZKOWSKI DDS (NPI 1699750802) is an individual oral & maxillofacial surgery provider in Burnsville, Minnesota, licensed in Minnesota (D10761) and active in the NPI registry since December 2005. He has opted out of Medicare through March 20, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1699750802
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameDR. MARK T ROSZKOWSKICredential: DDS
Location Address625 E NICOLLET BLVD, STE 205Burnsville, MN 55337-6734
Mailing Address625 E Nicollet Blvd, Ste 205Burnsville, MN 55337-6734 · (952) 435-0310 · Fax (952) 435-0311
Phone(952) 435-0310
Fax(952) 435-0311
Sole ProprietorNo
Enumeration DateDecember 9, 2005
Last NPPES UpdateJuly 9, 2010
✔ NPI 1699750802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in MN · D10761
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
625 E NICOLLET BLVD, Burnsville, MN 55337
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Other Identifiers 4

Medicare ID-Type Unspecified190000737
Medicaid227315200MN
Medicare UPINU77752
Other317R7ROMN · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Mark T Roszkowski Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 20, 2015 through March 20, 2027.

Opt-Out Effective DateMarch 20, 2015
Opt-Out In Effect ThroughMarch 20, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANDREW MARK DOROSCHAK D.D.S., M.S.
Dentist (Endodontics)
625 E NICOLLET BLVD, SUITE 340
BURNSVILLE, MN 55337
Dakota County (952) 435-0370
DR. JERALD HERMAN LYNG D.D.S., M.S.
Dentist (Endodontics)
625 E NICOLLET BLVD, SUITE 340
BURNSVILLE, MN 55337
Dakota County (952) 435-0370
BURNSVILLE ORTHODONTIC ASSOCIATES PLLC
Dentist (Orthodontics and Dentofacial Orthopedics)
625 E NICOLLET BLVD, SUITE 300
BURNSVILLE, MN 55337
Dakota County (952) 435-0350
MR. MATTHEW M. ABRAMSON DDS, MS
Dentist (Periodontics)
625 E NICOLLET BLVD, STE. 300
BURNSVILLE, MN 55337
Dakota County (952) 435-0333
JEFFREY J OLSON D.D.S
Dentist (General Practice)
625 E NICOLLET BLVD, SUITE 310
BURNSVILLE, MN 55337
Dakota County (952) 435-0355
OAK RIDGE DENTAL, LLC
Dentist (General Practice)
625 E NICOLLET BLVD, SUITE 310
BURNSVILLE, MN 55337
Dakota County (952) 435-0355
DR. ROGER JEROME BURKE D.D.S., M.S.
Dentist (Endodontics)
625 E NICOLLET BLVD, SUITE 340
BURNSVILLE, MN 55337
Dakota County (952) 435-0370
SILVERMAN ORTHOPAEDICS, PC
Durable Medical Equipment & Medical Supplies
625 E NICOLLET BLVD, STE 100
BURNSVILLE, MN 55337
Dakota County (952) 920-4333

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 Mark Roszkowski's NPI number?

The NPI number for Mark Roszkowski is 1699750802. It was assigned to this individual provider in the NPPES registry on December 9, 2005.

Where is Mark Roszkowski located?

Mark Roszkowski practices at 625 E Nicollet Blvd Ste 205, Burnsville, MN 55337. The listed phone number is (952) 435-0310.

What is Mark Roszkowski's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Mark Roszkowski enrolled in Medicare?

No. Mark Roszkowski has opted out of Medicare through March 20, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Mark Roszkowski accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Mark Roszkowski as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mark Roszkowski was last updated on July 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.