AL SHIFA DENTISTRY PA
NPI 1760703151
Clinic/Center - Dental in Maple Grove, MN

Active since June 19, 2010
12936 63RD AVE N, MAPLE GROVE, MN 55369(763) 559-3400(763) 559-3900 Get Directions Write a Review

NPPES record last updated: June 19, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Al Shifa Dentistry Pa NPPES

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

AL SHIFA DENTISTRY PA (NPI 1760703151) is a healthcare organization registered as a dental in Maple Grove, Minnesota and active in the NPI registry since June 2010. The organization lists Nasir Latif, President, as its authorized official.

NPPES Registry Identity

NPI1760703151
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameAL SHIFA DENTISTRY PA
Location Address12936 63RD AVE NMaple Grove, MN 55369-6001
Mailing Address12936 63rd Ave NMaple Grove, MN 55369-6001 · (763) 559-3400 · Fax (763) 559-3900
Fax(763) 559-3900
Organization SubpartNo
Authorized OfficialNasir LatifPresident · (612) 481-1976
Enumeration DateJune 19, 2010
NPI 1760703151 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 · D12215
12936 63RD AVE N, Maple Grove, MN 55369

Accepted Insurance

Other Providers at the Same Location NPPES 4

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

Dental Therapist
12936 63RD AVE N
MAPLE GROVE, MN 55369
Advanced Practice Dental Therapist
12936 63RD AVE N
MAPLE GROVE, MN 55369
Dentist (General Practice)
12936 63RD AVE N
MAPLE GROVE, MN 55369
Dental Therapist
12936 63RD AVE N
MAPLE GROVE, MN 55369

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 Al Shifa Dentistry PA's NPI number?

The NPI number for Al Shifa Dentistry PA is 1760703151. It was assigned to this organization in the NPPES registry on June 19, 2010.

Where is Al Shifa Dentistry PA located?

Al Shifa Dentistry PA is located at 12936 63rd Ave N, Maple Grove, MN 55369. The listed phone number is (763) 559-3400.

What is Al Shifa Dentistry PA's specialty?

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

What insurance does Al Shifa Dentistry PA accept?

Health plans from UnitedHealthcare list Al Shifa Dentistry PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Al Shifa Dentistry PA was last updated on June 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.