1. Home
  2. Directory
  3. Minnesota
  4. Coon Rapids
  5. Dentist
  6. NPI Profile

OSAGE DENTAL ASSOCIATES PA
NPI 1265586192
Dentist - General Practice in Coon Rapids, MN

Active since January 22, 2007
11441 OSAGE ST NW, COON RAPIDS, MN 55433(763) 757-6600(763) 757-3693 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Osage Dental Associates Pa NPPES

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

OSAGE DENTAL ASSOCIATES PA (NPI 1265586192) is a healthcare organization registered as a general practice in Coon Rapids, Minnesota and active in the NPI registry since January 2007. The organization lists Tammy Shadrick, Om, as its authorized official.

NPPES Registry Identity

NPI1265586192
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameOSAGE DENTAL ASSOCIATES PA
Location Address11441 OSAGE ST NWCoon Rapids, MN 55433-3677
Mailing Address11441 Osage St NwCoon Rapids, MN 55433-3677 · (763) 757-6600 · Fax (763) 757-3693
Phone(763) 757-6600
Fax(763) 757-3693
Organization SubpartNo
Authorized OfficialTammy ShadrickOm · (763) 757-6600
Enumeration DateJanuary 22, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1265586192 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 · 9770
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.
11441 OSAGE ST NW, Coon Rapids, MN 55433
Open in Google Maps ↗

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 5

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

LISA DOMEYER DDS
Dentist (General Practice)
11441 OSAGE ST NW
COON RAPIDS, MN 55433
Anoka County (763) 757-6600
NORTHSIDE MINNESOTA ORAL AND MAXILLOFACIAL SURGEONS, PLLC
Clinic/Center (Oral and Maxillofacial Surgery)
11441 OSAGE ST NW
COON RAPIDS, MN 55433
Anoka County (763) 862-6442
NORTHSIDE MINNESOTA ORAL AND MAXILLOFACIAL SURGEONS
Dentist
11441 OSAGE ST NW
COON RAPIDS, MN 55433
Anoka County (763) 862-6442
DR. MOHAMED E EL DEEB DDS DOS MS
Dentist (Oral and Maxillofacial Surgery)
11441 OSAGE ST NW
COON RAPIDS, MN 55433
Anoka County (763) 862-6442
DIANE L WOLTER DDS
Dentist (General Practice)
11441 OSAGE ST NW
COON RAPIDS, MN 55433
Anoka County (763) 757-6600

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 Osage Dental Associates PA's NPI number?

The NPI number for Osage Dental Associates PA is 1265586192. It was assigned to this organization in the NPPES registry on January 22, 2007.

Where is Osage Dental Associates PA located?

Osage Dental Associates PA is located at 11441 Osage St NW, Coon Rapids, MN 55433. The listed phone number is (763) 757-6600.

What is Osage Dental Associates 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 Osage Dental Associates PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.