DR. EBOSETALE ODIAOGBE OKORUWA DDS
NPI 1417444332
Dentist in Cottage Grove, MN

Q: What is Ebosetale Okoruwa's NPI number?

The NPI number for Ebosetale Okoruwa is 1417444332. It was assigned to this individual provider in the NPPES registry on April 16, 2018.

Q: What is Ebosetale Okoruwa's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Ebosetale Okoruwa was last updated on February 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 16, 2018

6936 PINE ARBOR DR S STE 230, COTTAGE GROVE, MN 55016(651) 204-5257 Get Directions Write a Review

NPPES record last updated: February 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 21, 2021, Apr 16, 2018 (2 updates tracked since 2018).

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About Dr. Ebosetale Odiaogbe Okoruwa Dds NPPES

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

DR. EBOSETALE ODIAOGBE OKORUWA DDS (NPI 1417444332) is an individual dentist in Cottage Grove, Minnesota, licensed in Minnesota (D14478) and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1417444332

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. EBOSETALE ODIAOGBE OKORUWACredential: DDS

Location Address6936 PINE ARBOR DR S STE 230Cottage Grove, MN 55016-4645

Mailing Address2052 Irene StRoseville, MN 55113-6613 · (712) 309-6588

Phone(651) 204-5257

Sole ProprietorNo

Enumeration DateApril 16, 2018

Last NPPES UpdateFebruary 12, 20242 updates tracked since enumeration

NPPES CertifiedFebruary 12, 2024

✔ NPI 1417444332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Licenses✔ Licensed in MN · D14478✔ Licensed in WI · 1002470

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

6936 PINE ARBOR DR S STE 230, Cottage Grove, MN 55016

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Other Providers at the Same Location NPPES

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

ABBA HEALTHCARE PLLC

Clinic/Center (Dental)

6936 PINE ARBOR DR S STE 230
COTTAGE GROVE, MN 55016

Washington County (651) 204-5257

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 Ebosetale Okoruwa's NPI number?

The NPI number for Ebosetale Okoruwa is 1417444332. It was assigned to this individual provider in the NPPES registry on April 16, 2018.

Where is Ebosetale Okoruwa located?

Ebosetale Okoruwa practices at 6936 Pine Arbor Dr S Ste 230, Cottage Grove, MN 55016. The listed phone number is (651) 204-5257.

What is Ebosetale Okoruwa's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Ebosetale Okoruwa accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 9 other insurers list Ebosetale Okoruwa as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ebosetale Okoruwa was last updated on February 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.