Organization Active NPI

Advanced Dental Lab

  • Dental Laboratory Technician
  • Fridley, MN
National Provider Identifier
1235042565
Registry record updated Sep 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Laboratory TechnicianTaxonomy code 126900000X
Legal business name
ADVANCED DENTAL LAB
Practice address
7362 University Ave NE Ste 300
Fridley, MN 55432-3150
Phone
(763) 571-4887
NPI assigned
Sep 26, 2026
Last updated
Sep 26, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2026

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

Authorized official

Name
Hass H Salti, CDT
Title
Owner
Phone
(763) 528-0775

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Laboratory Technician 126900000X NU Primary

Addresses

Primary practice location

7362 University Ave NE Ste 300
Fridley, MN 55432-3150

Mailing address

7362 University Ave NE Ste 300
Fridley, MN 55432-3150
Phone (763) 571-4887

NPI Registry JSON

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

{
    "created_epoch": "1790380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790380800000",
    "number": "1235042565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7362 UNIVERSITY AVE NE STE 300",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554323150",
            "telephone_number": "763-571-4887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7362 UNIVERSITY AVE NE STE 300",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554323150",
            "telephone_number": "763-571-4887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DENTAL LAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-26",
        "last_updated": "2026-09-26",
        "certification_date": "2026-09-26",
        "status": "A",
        "authorized_official_last_name": "SALTI",
        "authorized_official_first_name": "HASS",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-528-0775",
        "authorized_official_credential": "CDT"
    },
    "taxonomies": [
        {
            "code": "126900000X",
            "taxonomy_group": "",
            "desc": "Dental Laboratory Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fridley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.