Dr Ebosetale Odiaogbe Okoruwa, DDS - Dentist in Cottage Grove, MN

Dr Ebosetale Odiaogbe Okoruwa, DDS is a Dentist based in Cottage Grove, Minnesota. Dr Ebosetale Odiaogbe Okoruwa is licensed to practice in Minnesota (license number D14478) and his current practice location is 6936 Pine Arbor Dr S Ste 230, Cottage Grove, Minnesota. He can be reached at his office (for appointments etc.) via phone at (651) 204-5257.

NPI number for Dr Ebosetale Odiaogbe Okoruwa is 1417444332 and his current mailing address is 2052 Irene St, Roseville, Minnesota. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1417444332.

Contact Information

Dr Ebosetale Odiaogbe Okoruwa, DDS
6936 Pine Arbor Dr S Ste 230,
Cottage Grove, MN 55016-4645
(651) 204-5257
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Ebosetale Odiaogbe Okoruwa
GenderMale
SpecialityDentist
Location6936 Pine Arbor Dr S Ste 230, Cottage Grove, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1417444332
  • Provider Enumeration Date: 04/16/2018
  • Last Update Date: 02/12/2024

Medical Identifiers

Medical identifiers for Dr Ebosetale Odiaogbe Okoruwa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417444332NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 1002470 (Wisconsin)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
122300000XDentist D14478 (Minnesota)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ebosetale Odiaogbe Okoruwa is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Ebosetale Odiaogbe Okoruwa, DDS
2052 Irene St,
Roseville, MN 55113-6613

Ph: (712) 309-6588
Dr Ebosetale Odiaogbe Okoruwa, DDS
6936 Pine Arbor Dr S Ste 230,
Cottage Grove, MN 55016-4645

Ph: (651) 204-5257

Reviews and Comments


Dentist in Cottage Grove, MN

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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