Doctor profile · Federal record
Dr. Ebosetale Okoruwa, DDS
Dentist · Dentist · Student in an Organized Health Care Education/Training Program · Cottage Grove, MN
- NPI 1417444332
- 8 yrs on file
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
6936 Pine Arbor Dr S Ste 230
Cottage Grove, MN 550164645
(651) 204-5257 - Mailing address
-
2052 Irene St
Roseville, MN 551136613
Credentials & registration
- NPI registered
- April 2018 — 8 yrs on file
- Profile last updated
- February 12, 2024
- Specialty taxonomy
- 122300000X — NUCC code
- State licenses (2)
- Minnesota #D14478 · Wisconsin #1002470
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1417444332. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$415
Transactions
12
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Hu-Friedy Mfg. Co., LLC | 10 | $385.92 | |
| Gc America INC. | 1 | $15.89 | |
| Ultradent Products INC | 1 | $13.09 |
By nature of payment
Frequently asked questions
What is Dr. Ebosetale Okoruwa's medical specialty?
Dr. Ebosetale Okoruwa practices Dentist in Cottage Grove, MN.
Where does Dr. Ebosetale Okoruwa practice?
Dr. Ebosetale Okoruwa practices at 6936 Pine Arbor Dr S Ste 230, Cottage Grove, MN 550164645. Office phone: 6512045257.
What is Dr. Ebosetale Okoruwa's NPI?
Dr. Ebosetale Okoruwa's National Provider Identifier (NPI) is 1417444332, issued by NPPES.