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JUSTIN T. OSTREM D.D.S. PA
NPI 1124773460
Dentist - General Practice in Plymouth, MN

Active since February 15, 2022
9655 SCHMIDT LAKE RD STE 200, PLYMOUTH, MN 55442(763) 536-1272 Get Directions Write a Review

NPPES record last updated: February 15, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Justin T. Ostrem D.d.s. Pa NPPES

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

JUSTIN T. OSTREM D.D.S. PA (NPI 1124773460) is a healthcare organization registered as a general practice in Plymouth, Minnesota and active in the NPI registry since February 2022. The organization lists Justin T Ostrem, Owner, as its authorized official.

NPPES Registry Identity

NPI1124773460
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameJUSTIN T. OSTREM D.D.S. PA
Location Address9655 SCHMIDT LAKE RD STE 200Plymouth, MN 55442-4530
Mailing Address9655 Schmidt Lake Rd Ste 200Plymouth, MN 55442-4530 · (763) 536-1272
Phone(763) 536-1272
Organization SubpartNo
Authorized OfficialJustin T OstremOwner · (763) 536-1272
Enumeration DateFebruary 15, 2022
NPPES CertifiedFebruary 15, 2022
✔ NPI 1124773460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
9655 SCHMIDT LAKE RD STE 200, Plymouth, MN 55442
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. JUSTIN TODD OSTREM DDS
General Practice
9655 SCHMIDT LAKE RD STE 200
PLYMOUTH, MN 55442
Hennepin County (763) 536-1272

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 Justin T. Ostrem D.D.S. PA's NPI number?

The NPI number for Justin T. Ostrem D.D.S. PA is 1124773460. It was assigned to this organization in the NPPES registry on February 15, 2022.

Where is Justin T. Ostrem D.D.S. PA located?

Justin T. Ostrem D.D.S. PA is located at 9655 Schmidt Lake Rd Ste 200, Plymouth, MN 55442. The listed phone number is (763) 536-1272.

What is Justin T. Ostrem D.D.S. PA'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 Justin T. Ostrem D.D.S. PA was last updated on February 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.