OTSEGO DENTAL
NPI 1962676825
Dentist in Otsego, MN

Active since April 22, 2008
9075 QUADAY AVE NE, SUITE 101, OTSEGO, MN 55330(763) 441-2452(763) 441-7675 Get Directions Write a Review

NPPES record last updated: April 22, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Dentist

About OTSEGO DENTAL

This page provides the complete NPI Profile along with additional information for Otsego Dental, a provider established in Otsego, Minnesota operating as a Dentist. The healthcare provider is registered in the NPI registry with number 1962676825 assigned on April 2008. The practitioner's primary taxonomy code is 122300000X with license number D10405 (MN). The provider is registered as an organization and their NPI record was last updated 18 years ago. Otsego Dental operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Paul Sheils Dds (Dentist/owner)

NPI
1962676825 Verify this NPI
Provider Name
OTSEGO DENTAL
Entity Type
Organization
Location Address
9075 QUADAY AVE NE SUITE 101 OTSEGO, MN 55330
Location Phone
(763) 441-2452
Location Fax
(763) 441-7675
Mailing Address
9075 QUADAY AVE NE SUITE 101 OTSEGO, MN 55330
Mailing Phone
(763) 441-2452
Mailing Fax
(763) 441-7675
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-22-2008
Last Update Date
04-22-2008
Code Navigator

A dentist like Otsego Dental is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist

Taxonomy Code
122300000X
Type
Dental Providers
License No.
D10405
License State
MN
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

PAUL SHEILS DDS

Authorized Official Title
DENTIST/OWNER
Authorized Official Phone
(763) 441-2452

Reviews for OTSEGO DENTAL

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Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Social Worker
9075 QUADAY AVE NE, SUITE 102
OTSEGO, MN 55330
Marriage & Family Therapist
9075 QUADAY AVE NE, SUITE 102
OTSEGO, MN 55330
Dentist (General Practice)
9075 QUADAY AVE NE, SUITE 101
OTSEGO, MN 55330
Dentist (General Practice)
9075 QUADAY AVE NE, SUITE 101
OTSEGO, MN 55330
Marriage & Family Therapist
9075 QUADAY AVE NE, SUITE 102
OTSEGO, MN 55330
Social Worker (Clinical)
9075 QUADAY AVE NE, SUITE 102
OTSEGO, MN 55330
Counselor (Professional)
9075 QUADAY AVE NE, SUITE 102
ELK RIVER, MN 55330
Counselor (Addiction (Substance Use Disorder))
9075 QUADAY AVE NE, SUITE 102
OTSEGO, MN 55330
Counselor (Professional)
9075 QUADAY AVE NE, SUITE 102
OTSEGO, MN 55330

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962676825, enumerated as an "organization" on April 22, 2008.

The provider is located at 9075 QUADAY AVE NE SUITE 101 OTSEGO, MN 55330 and the phone number is (763) 441-2452.

Dentist with taxonomy code 122300000X.