Active NPI
Advanced Dental Lab
- Dental Laboratory Technician
- Fridley, MN
National Provider Identifier
1235042565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Laboratory Technician
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.