NPI 1093495574

Cottage Grove Smiles Dentistry, PC

Organisation General Practice Dentistry Cottage Grove, MN

Practice location

Address: 7240 E Point Douglas Rd S STE 150, Cottage Grove, MN 55016-3021
Phone: (651) 352-4628
Fax: (651) 359-2923
Mailing address: PO Box 920050, Dallas, TX 75392-0050

Authorised official

Name: Thomas Morien
Title: Owner
Phone: (651) 352-4628

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X

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Registry record

NPI: 1093495574
Entity type: Organization
NPI issued: 20 Jul 2023
Record last updated: 20 Jul 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.