DR. ROGER JOSEPH BROMAGHIM D.D.S.
NPI 1902937782
Dentist - General Practice in Big Lake, MN

Active since March 07, 2007
16991 198TH AVENUE NW, BIG LAKE, MN 55309(763) 263-6350(763) 263-0136 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Roger Joseph Bromaghim D.d.s. NPPES

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

DR. ROGER JOSEPH BROMAGHIM D.D.S. (NPI 1902937782) is an individual general practice provider in Big Lake, Minnesota, licensed in Minnesota (D9355) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1902937782
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. ROGER JOSEPH BROMAGHIMCredential: D.D.S.
Location Address16991 198TH AVENUE NWBig Lake, MN 55309-0249
Mailing Address16991 198th Avenue Nw, Po Box 249Big Lake, MN 55309-0249 · (763) 263-6350 · Fax (763) 263-0136
Fax(763) 263-0136
Sole ProprietorNo
Enumeration DateMarch 7, 2007
Last NPPES UpdateJuly 9, 2007
NPI 1902937782 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 · D9355
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.
16991 198TH AVENUE NW, Big Lake, MN 55309

Other Identifiers 1

OtherD9355MN · State License

Other Providers at the Same Location NPPES 4

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

Dental Hygienist
16991 198TH AVENUE NW
BIG LAKE, MN 55309
Dentist (General Practice)
16991 198TH AVENUE NW
BIG LAKE, MN 55309
Dental Hygienist
16991 198TH AVENUE NW
BIG LAKE, MN 55309
Dental Hygienist
16991 198TH AVENUE NW
BIG LAKE, MN 55309

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 Roger Bromaghim's NPI number?

The NPI number for Roger Bromaghim is 1902937782. It was assigned to this individual provider in the NPPES registry on March 7, 2007.

Where is Roger Bromaghim located?

Roger Bromaghim practices at 16991 198th Avenue NW, Big Lake, MN 55309. The listed phone number is (763) 263-6350.

What is Roger Bromaghim's specialty?

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

When was this NPI record last updated?

The NPPES record for Roger Bromaghim was last updated on July 9, 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.