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Osage Dental Associates PA

NPI 1265586192ActiveOrganization· Dentist, General Practice· Coon Rapids, MN

Dentist, General Practice in Coon Rapids, Minnesota, registered in NPPES in January 2007. The authorized official on file is Tammy Shadrick, Om.

Overview

NPI1265586192
StatusActive
Entity typeOrganization
NPI issuedJan 22, 2007
Last updated in NPPESAug 22, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X9770MN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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