Craig Anthony Sulzdorf, DDS - Medicare Dentist in Roseville, MN

Craig Anthony Sulzdorf, DDS is a medicare enrolled "Dentist - General Practice" provider in Roseville, Minnesota. His current practice location is 1912 Lexington Ave N Ste 200, Roseville, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 631-3610.

Craig Anthony Sulzdorf is licensed to practice in Minnesota (license number 9187) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1083787121.

Contact Information

Craig Anthony Sulzdorf, DDS
1912 Lexington Ave N Ste 200,
Roseville, MN 55113-6112
(651) 631-3610
Not Available



Healthcare Provider's Profile

Full NameCraig Anthony Sulzdorf
GenderMale
SpecialityDentist - General Practice
Location1912 Lexington Ave N Ste 200, Roseville, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1083787121
  • Provider Enumeration Date: 11/16/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 5193027076
  • Enrollment ID: I20160108002000

Medical Identifiers

Medical identifiers for Craig Anthony Sulzdorf such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083787121NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 9187 (Minnesota)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Craig Anthony Sulzdorf is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Craig Anthony Sulzdorf, DDS
1056 Parker Ave,
Roseville, MN 55113-6459

Ph: (651) 487-3564
Craig Anthony Sulzdorf, DDS
1912 Lexington Ave N Ste 200,
Roseville, MN 55113-6112

Ph: (651) 631-3610

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› Verified 3 days ago


Dentist in Roseville, MN

Stephanie Mazhari Huang, D.D.S
Dentist
Medicare: Medicare Enrolled
Practice Location: 708 County Road B W, Roseville, MN 55113
Phone: 651-489-0161    Fax: 651-489-9938
Dr. Kirk Roland Baumgardner, DDS, PHD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1835 County Road C W, Roseville, MN 55113
Phone: 651-746-0587    Fax: 651-636-1118
Dr. Douglas Kenneth Keim,, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2233 Hamline Ave N, Suite 210, Roseville, MN 55113
Phone: 651-631-2944    Fax: 651-639-1439
Michael Warren Geiser, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2233 Hamline Ave N, Suite 111, Roseville, MN 55113
Phone: 651-633-5087    Fax: 651-633-5148
Dr. Teodora Nikolaeva Baylon, D.D.S.
Dentist
Medicare: Medicare Enrolled
Practice Location: 2233 Hamline Ave N, Roseville, MN 55113
Phone: 651-636-0655    
Dr. Pamela Jean Holm, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1835 County Road C W, #220, Roseville, MN 55113
Phone: 651-636-2123    Fax: 651-636-2614

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