Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Osage Dental Associates PA

Organization General Practice Dentistry · NPI 1265586192

Osage Dental Associates PA is a General Practice Dentistry in Coon Rapids, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.

Licensed in
MN
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11441 Osage St NW
Coon Rapids, MN 55433-3677
Phone: (763) 757-6600
Fax: (763) 757-3693
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 9770 (MN)

Record details

NPI number1265586192
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tammy Shadrick — Om · (763) 757-6600
NPI enumeratedJanuary 22, 2007
Last updated in NPPESAugust 22, 2020
Mailing address11441 Osage St Nw, Coon Rapids, MN 55433-3677

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