Cottage Grove Dental Care

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

COTTAGE GROVE DENTAL CARE

Practice address

675 S 11TH St
Marion, IA 52302-4962

Phone

(319) 377-9877

NPI assigned

Aug 17, 2026

Last updated

Aug 17, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Matthew Sieverding, DDS

Title

Ceo Clinical Director

Phone

(319) 440-7584

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Connie A Miller, D.D.S.

  • General Practice Dentistry
  • Marion, IA
  • NPI 1629197843
  NPD (past)

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

{
    "created_epoch": "1786924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786924800000",
    "number": "1194630871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 S 11TH ST",
            "city": "MARION",
            "state": "IA",
            "postal_code": "523024962",
            "telephone_number": "319-377-9877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 S 11TH ST",
            "city": "MARION",
            "state": "IA",
            "postal_code": "523024962",
            "telephone_number": "319-377-9877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COTTAGE GROVE DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-17",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A",
        "authorized_official_last_name": "SIEVERDING",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CEO CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "319-440-7584",
        "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": []
}

• Sara Colling, PHARMD
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• Terri Lyn Cooper, D.C., C.C.S.P.
• Samantha Marie Crain
• Heather Ann Crawford, OTA
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• Kimberly Kay Cruise, OD
• Olivia K D'Amico-Pankey

• General Practice Dentistry in Marion, IA
• Providers in Marion, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; 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.