MARYAM ASMA HAQUE
NPI 1710679485
Dentist in Minneapolis, MN

Q: What is Maryam Haque's NPI number?

The NPI number for Maryam Haque is 1710679485. It was assigned to this individual provider in the NPPES registry on May 22, 2023.

Q: What is Maryam Haque's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Maryam Haque was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.

Active since May 22, 2023

636 BROADWAY ST NE, MINNEAPOLIS, MN 55413(612) 746-1530 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 23, 2025, May 22, 2023 (2 updates tracked since 2023).

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About Maryam Asma Haque NPPES

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

MARYAM ASMA HAQUE (NPI 1710679485) is an individual dentist in Minneapolis, Minnesota, licensed in Minnesota (D15326) and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1710679485

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameMARYAM ASMA HAQUE

Location Address636 BROADWAY ST NEMinneapolis, MN 55413-2164

Mailing Address13555 Flagstaff AveApple Valley, MN 55124-7957 · (952) 686-4368

Phone(612) 746-1530

Sole ProprietorNo

Enumeration DateMay 22, 2023

Last NPPES UpdateJune 23, 20252 updates tracked since enumeration

NPPES CertifiedJune 23, 2025

✔ NPI 1710679485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MN · D15326

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

636 BROADWAY ST NE, Minneapolis, MN 55413

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Other Providers at the Same Location NPPES 20

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

MRS. HEATHER GLOCKLE R.D.H.

Dental Hygienist