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NORTH STAR PEDIATRIC DENTISTRY
NPI 1902775786
Dentist - Pediatric Dentistry in Maple Grove, MN

Active since October 31, 2025
9708 63RD AVE N STE 102, MAPLE GROVE, MN 55369(202) 378-4707 Get Directions Write a Review

NPPES record last updated: October 31, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About North Star Pediatric Dentistry NPPES

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

NORTH STAR PEDIATRIC DENTISTRY (NPI 1902775786) is a healthcare organization registered as a pediatric dentistry in Maple Grove, Minnesota and active in the NPI registry since October 2025. The organization lists Elias Kamal Abdi, Owner/pediatric Dentist, as its authorized official.

NPPES Registry Identity

NPI1902775786
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameNORTH STAR PEDIATRIC DENTISTRY
Location Address9708 63RD AVE N STE 102Maple Grove, MN 55369-6252
Mailing Address2333 Jackson St Ne Apt 222Minneapolis, MN 55418-1845
Phone(202) 378-4707
Organization SubpartNo
Authorized OfficialElias Kamal AbdiOwner/pediatric Dentist · (202) 378-4707
Enumeration DateOctober 31, 2025
NPPES CertifiedOctober 31, 2025
✔ NPI 1902775786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
9708 63RD AVE N STE 102, Maple Grove, MN 55369
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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

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 North Star Pediatric Dentistry's NPI number?

The NPI number for North Star Pediatric Dentistry is 1902775786. It was assigned to this organization in the NPPES registry on October 31, 2025.

Where is North Star Pediatric Dentistry located?

North Star Pediatric Dentistry is located at 9708 63rd Ave N Ste 102, Maple Grove, MN 55369. The listed phone number is (202) 378-4707.

What is North Star Pediatric Dentistry's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for North Star Pediatric Dentistry was last updated on October 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.