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Dr. Ebosetale Odiaogbe Okoruwa, DDS

Dentist in Cottage Grove, MN · enumerated 2018 · practices at Abba Healthcare Pllc.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1417444332

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Registry record

Entity type Individual (Type 1)
Name Dr. Ebosetale Odiaogbe Okoruwa
Credential DDS
Sex Male
Practice address 6936 Pine Arbor Dr S Ste 230, Cottage Grove, MN, 55016
Phone (651) 204-5257
Enumeration date Apr 16, 2018
Last updated in NPPES Feb 12, 2024

Taxonomy & licenses

122300000X Dentist Dental Providers · License 1002470 (WI) Secondary
390200000X Student in an Organized Health Care Education/Training Program Student, Health Care Secondary
122300000X Dentist Dental Providers · License D14478 (MN) Primary
DDS · Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What specialty is Ebosetale Okoruwa?
Ebosetale Okoruwa is registered in NPPES with the primary taxonomy of Dentist. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-02-12.