Dr. Ebosetale Odiaogbe Okoruwa is a Cottage Grove, Minnesota based Dentist who is specialized in
Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Ebosetale Odiaogbe Okoruwa is
D14478 for Dentistry in Minnesota. His current practice location is
6936 Pine Arbor Dr S Ste 230, Cottage Grove. Patients can reach him at
651-204-5257.
Dr. Ebosetale Odiaogbe Okoruwa is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Ebosetale Odiaogbe Okoruwa speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Ebosetale Odiaogbe Okoruwa |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 6936 Pine Arbor Dr S Ste 230, Cottage Grove,
Minnesota, 55016-4645 |
| Phone: | 651-204-5257 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1417444332 |
| NPI Enumeration Date: | 16 Apr, 2018 |
| NPI Last Update On: | 12 Feb, 2024 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Ebosetale Odiaogbe Okoruwa are as mentioned below.
| License Number | Specialization | State | Status | |
| D14478 | Dentistry | Minnesota | Primary | |
| 1002470 | Dentistry | Wisconsin | Secondary | |
| Student in an Organized Health Care Education/Training Program | | Secondary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2052 Irene St,
Roseville, Minnesota |
| Zip: | 55113-6613 |
| Phone Number: | 712-309-6588 |
Patients can reach Dr. Ebosetale Odiaogbe Okoruwa at
6936 Pine Arbor Dr S Ste 230, Cottage Grove, Minnesota or can
call to book an appointment on 651-204-5257.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.