Osseo Family Dental, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

OSSEO FAMILY DENTAL, PLLC

Practice address

30 Central Ave
Osseo, MN 55369-1241

Phone

(763) 425-2626

Fax

(763) 425-3070

NPI assigned

Jul 14, 2021

Last updated

Jul 14, 2021By 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

William Kotonias, DDSNPI 1265655963

Title

Dentist

Phone

(763) 533-8669

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• William Sam Kotonias, DDS

  • General Practice Dentistry
  • Brooklyn Center, MN
  • NPI 1265655963
  Authorized official Same address or phone
• Wendy A Tanner, DDS

  • General Practice Dentistry
  • Osseo, MN
  • NPI 1437269693
  NPD
• Gregory Michael Joiner, D.D.S.

  • General Practice Dentistry
  • Osseo, MN
  • NPI 1477544245
  NPD (past)

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

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626220800000",
    "number": "1699347039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 CENTRAL AVE",
            "city": "OSSEO",
            "state": "MN",
            "postal_code": "553691241",
            "telephone_number": "763-425-2626",
            "fax_number": "763-425-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 CENTRAL AVE",
            "city": "OSSEO",
            "state": "MN",
            "postal_code": "553691241",
            "telephone_number": "763-425-2626",
            "fax_number": "763-425-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSSEO FAMILY DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-14",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A",
        "authorized_official_last_name": "KOTONIAS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "763-533-8669",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northland Dental Partners, PLLC (Metro Dentalcare Osseo)
• Beuter Omariba
• Osseo Back and Neck Clinic, P.a. (Osseo Chiropractic Clinic)
• Osseo Clinic, P.a.
• Osseo Dental Studio PLLC
• Provobis LLC (Channel of Peace Hospice and Home Health)
• Radiant Health Collective LLC
• Radiant Living Homes LLC
• Right Response LLC
• Laura Marie Robertson, LMP

• Dental Clinic/Center in Osseo, MN
• Providers in Osseo, MN by specialty
• Dental Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; 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.