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LAKESHORE DENTAL
NPI 1356801799
Dentist - General Practice in Minneapolis, MN

Active since March 21, 2019
4700 CEDAR AVE S, MINNEAPOLIS, MN 55407(240) 765-4938 Get Directions Write a Review

NPPES record last updated: March 21, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Lakeshore Dental NPPES

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

LAKESHORE DENTAL (NPI 1356801799) is a healthcare organization registered as a general practice in Minneapolis, Minnesota and active in the NPI registry since March 2019. The organization lists Mohamed M Ali, Owner, as its authorized official.

NPPES Registry Identity

NPI1356801799
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLAKESHORE DENTAL
Location Address4700 CEDAR AVE SMinneapolis, MN 55407-3634
Mailing Address4700 Cedar Ave SMinneapolis, MN 55407-3634
Phone(240) 765-4938
Organization SubpartNo
Authorized OfficialMohamed M AliOwner · (240) 765-4938
Enumeration DateMarch 21, 2019
✔ NPI 1356801799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

4700 CEDAR AVE S, Minneapolis, MN 55407
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

MOHAMED MUKHTAR ALI DDS
Dentist (General Practice)
4700 CEDAR AVE S
MINNEAPOLIS, MN 55407
Hennepin County (240) 765-4938

Frequently Asked Questions

What is LAKESHORE DENTAL's NPI number?

The NPI number assigned to this healthcare provider is 1356801799, enumerated as an "organization" on March 21, 2019.

Where is the provider located?

The provider is located at 4700 CEDAR AVE S MINNEAPOLIS, MN 55407 and the phone number is (240) 765-4938.

What is the provider's specialty?

Dentist with taxonomy code 1223G0001X and a focus in General Practice.