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 provides 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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