OrganizationActive
Abba Healthcare PLLC
NPI 1023872835 · Dental Clinic/Center · Cottage Grove, MN
Abba Healthcare PLLC is a Dental Clinic/Center organization in Cottage Grove, MN (NPI 1023872835).
Provider details
- NPI number
- 1023872835
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ebosetale Okoruwa, Owner Doctor(712) 309-6588
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6936 Pine Arbor Dr S Ste 230
Cottage Grove, MN 55016-4645
Phone: (651) 204-5257
Street-level locationGet directions
Mailing address
2052 Irene St
Roseville, MN 55113-6613
Other names (DBA / former)
- Doing business as
- Cottage Grove Pediatric Dentistry
Registry dates
- Enumerated
- 2024-02-12
- Last updated
- 2024-02-12
- Certified
- 2024-02-12
Frequently asked questions
- What is Abba Healthcare PLLC's NPI number?
- Abba Healthcare PLLC's National Provider Identifier (NPI) is 1023872835, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Abba Healthcare PLLC?
- Abba Healthcare PLLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Abba Healthcare PLLC located?
- Abba Healthcare PLLC's practice location on file with NPPES is 6936 Pine Arbor Dr S Ste 230, Cottage Grove, MN 55016-4645.
- What is Abba Healthcare PLLC's phone number?
- The practice phone number listed in the NPPES registry for Abba Healthcare PLLC is (651) 204-5257.
- Who is the authorized official for Abba Healthcare PLLC?
- The authorized official listed on Abba Healthcare PLLC's NPPES record is Ebosetale Okoruwa, Owner Doctor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Abba Healthcare PLLC's NPI active?
- Yes — Abba Healthcare PLLC's NPI (1023872835) is active in the NPPES registry as of the last update on 2024-02-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.