ANDERSON LAKE DENTAL
NPI 1215174917
Clinic/Center - Dental in Eden Prairie, MN

Q: What is Shiraz Asif Dds,llc's NPI number?

The NPI number for Shiraz Asif Dds,llc is 1215174917. It was assigned to this organization in the NPPES registry on January 16, 2009. The provider is doing business as Anderson Lake Dental.

Q: What is Shiraz Asif Dds,llc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Active since January 16, 2009

8775 COLUMBINE RD, EDEN PRAIRIE, MN 55344(952) 942-0823 Get Directions Write a Review

NPPES record last updated: January 16, 2009. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Anderson Lake Dental NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDERSON LAKE DENTAL (NPI 1215174917) is a healthcare organization registered as a dental in Eden Prairie, Minnesota and active in the NPI registry since January 2009. The organization lists Shiraz Mohammad Asif, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1215174917

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameSHIRAZ ASIF DDS,LLC

Location Address8775 COLUMBINE RDEden Prairie, MN 55344-6695

Mailing Address8775 Columbine RdEden Prairie, MN 55344-6695 · (952) 942-0823

Phone(952) 942-0823

Organization SubpartNo

Authorized OfficialShiraz Mohammad AsifOwner/dentist · (952) 942-0823

Enumeration DateJanuary 16, 2009

✔ NPI 1215174917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

License✔ Licensed in MN · D12191

8775 COLUMBINE RD, Eden Prairie, MN 55344

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Other Names 1

Doing Business AsAnderson Lake Dental

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHY ANN ARNOLD D.D.S.

Dentist (General Practice)

8775 COLUMBINE RD
EDEN PRAIRIE, MN 55344

Hennepin County (952) 942-0823

SHIRAZ MOHAMMAD ASIF BDS

Dentist (General Practice)

8775 COLUMBINE RD
EDEN PRAIRIE, MN 55344

Hennepin County (952) 942-0823

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shiraz Asif Dds,llc's NPI number?

The NPI number for Shiraz Asif Dds,llc is 1215174917. It was assigned to this organization in the NPPES registry on January 16, 2009. The provider is doing business as Anderson Lake Dental.

Where is Shiraz Asif Dds,llc located?

Shiraz Asif Dds,llc is located at 8775 Columbine Rd, Eden Prairie, MN 55344. The listed phone number is (952) 942-0823.

What is Shiraz Asif Dds,llc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Shiraz Asif Dds,llc was last updated on January 16, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.