Al Shifa Dentistry PA
Organization Active NPI Dental Clinic/Center · Maple Grove, MN
NPI 1760703151 · NPPES record last updated Jun 19, 2010
Key facts
- NPI
- 1760703151
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- License
- D12215 (MN)
- Legal business name
- AL SHIFA DENTISTRY PA
- Practice address
- 12936 63Rd Ave N
Maple Grove, MN 55369-6001 - Phone
- (763) 559-3400
- Fax
- (763) 559-3900
- NPI assigned
- Jun 19, 2010
- Organization subpart
- No
Authorized official
- Name
- Dr. Nasir Latif
- Title
- President
- Phone
- (612) 481-1976
Practitioners 6
-
Megan Becker, MDT
-
Abigail Marie Helmbrecht, A.D.T.
-
Bria Kaiser, MDT
-
Nasir Kamran Latif, DDS
-
Johnathan Wermers, DMD
National Provider Directory
Locations
12936 63rd Ave N
Maple Grove, MN 55369
Phone (763) 559-3400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | D12215 | MN | Yes |
Addresses
Primary practice location
12936 63Rd Ave N
Maple Grove, MN 55369-6001
Mailing address
12936 63Rd Ave N
Maple Grove, MN 55369-6001
Phone (763) 559-3400
Other providers in Maple Grove, MN
- Anas Ahmed
- Munira Ahmed
- Olalekan Hakeem Akanbi
- Anas Akhras
- Ayaa Al Mosawi
- Lara Hayel Al-Ejeilat
- Jordan Lynn Alabase
- Alb Dental Studio PLLC
- Shawn Michael Alderman
- Jennifer Alders
All providers in Maple Grove, MN · Dental Clinic/Center in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.