The Dental Suite PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

THE DENTAL SUITE PLLC

Practice address

4930 42ND Ave N
Robbinsdale, MN 55422-1731

Phone

(763) 245-2860

NPI assigned

Nov 20, 2021

Organization subpart

No

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

Authorized official

Name

Mudasir Walji, DDSNPI 1720657216

Title

Dentist

Phone

(763) 537-4531

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mudasir Walji

  • Dentist
  • Robbinsdale, MN
  • NPI 1720657216
  NPD Authorized official

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

{
    "created_epoch": "1637366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689724800000",
    "number": "1790442176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9756 WASHBURN AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554441016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4930 42ND AVE N",
            "city": "ROBBINSDALE",
            "state": "MN",
            "postal_code": "554221731",
            "telephone_number": "763-245-2860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DENTAL SUITE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-20",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A",
        "authorized_official_last_name": "WALJI",
        "authorized_official_first_name": "MUDASIR",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "763-537-4531",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Tansey, M.D.
• Winna M Taylor-Juean, MD
• Lesia Tchobaniouk
• Alexis Tebben, RD, LD
• Daryl Ray Tharp Jr., MD
• The Evangelical Lutheran Good Samaritan Society (Good Samaritan Society - Home Care)
• The Evangelical Lutheran Good Samaritan Society (Good Samaritan Society - Specialty Care Community)
• The Evangelical Lutheran Good Samaritan Society (Robbinsdale Good Samaritan Center)
• The Evangelical Lutheran Good Samaritan Society (Good Samaritan Society- Home Care)
• Christopher Nicholas Thein, MS, ATC, EMT

• Dental Clinic/Center in Robbinsdale, MN
• Providers in Robbinsdale, 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 19, 2023; 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.