Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. EBOSETALE ODIAOGBE OKORUWA, DDS
ActiveDentist · COTTAGE GROVE, MN
Registration Details
- NPI Number
- 1417444332
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 16, 2018 (8.0488572864978 yrs)
- Last Updated
- Feb 12, 2024
- Licenses
-
1002470 (WI)D14478 (MN)
Practice Information
- Address
-
6936 PINE ARBOR DR S STE 230COTTAGE GROVE, MN, 550164645Browse MN providers · Browse ZIP 55016
- Phone
- 6512045257
- Primary Specialty
-
Dentist
122300000X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Dentist
Other Dentist Providers in COTTAGE GROVE, MN
| Name | Credential | NPI |
|---|---|---|
| DR. KATHLEEN MARGARET MCGINN | DDS | 1578529061 |
| MARTIN HOWARD BORCHARDT | DDS | 1316903800 |
| DR. ROBERT ALVIN KRETCHMER | DDS | 1134132954 |
| RICHARD P TREHARNE | DDS | 1992854319 |
| DAVID GENE KELLEY | DDS | 1154473106 |
| JOANNA CHRISTINE BOURAIN | DDS | 1003482217 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.