Cottage Grove Smiles Dentistry, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

COTTAGE GROVE SMILES DENTISTRY, PC

Practice address

7240 E Point Douglas Rd S Ste 150
Cottage Grove, MN 55016-3021

Phone

(651) 352-4628

Fax

(651) 359-2923

NPI assigned

Jul 20, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Thomas Morien, DDS

Title

Owner

Phone

(651) 352-4628

Specialties & licenses 1

Addresses

Other names 1

• Cottage Grove Smiles Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shawn Seok-Hun Jung

  • Endodontics
  • Cottage Grove, MN
  • NPI 1952896417
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1689811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689811200000",
    "number": "1093495574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050",
            "telephone_number": "714-845-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7240 E POINT DOUGLAS RD S STE 150",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550163021",
            "telephone_number": "651-352-4628",
            "fax_number": "651-359-2923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COTTAGE GROVE SMILES DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-20",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A",
        "authorized_official_last_name": "MORIEN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-352-4628",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cottage Grove Smiles Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Casandra Jewel Clark
• Comfortcare Services Co
• Consilon
• Ann R Cook, BA, LADC
• Cottage Grove Chiropractic Clinic, PA
• Cottage Grove WP, LLC
• Jodi J Cowan, LPC
• Sarah Crandall, L.M.T.
• Diane Vavrik Crater, DDS
• Shannon Carol Cunningham, D.D.S.

• General Practice Dentistry in Cottage Grove, MN
• Providers in Cottage Grove, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.