| Osage Dental Associates Pa | |
|
11441 Osage St Nw Coon Rapids MN 55433-3677 | |
| (763) 757-6600 | |
| (763) 757-3693 |
| Full Name | Osage Dental Associates Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11441 Osage St Nw, Coon Rapids, Minnesota |
| Authorized Official Name and Position | Tammy Shadrick (OM) |
| Authorized Official Contact | 7637576600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Osage Dental Associates Pa 11441 Osage St Nw Coon Rapids MN 55433-3677 Ph: (763) 757-6600 | Osage Dental Associates Pa 11441 Osage St Nw Coon Rapids MN 55433-3677 Ph: (763) 757-6600 |
| NPI Number | 1265586192 |
|---|---|
| Provider Enumeration Date | 01/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265586192 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 9770 (Minnesota) | Primary |
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