KAMAL MOHAMAD FAKHREDDINE D.D.S. NPI 1174616817

NPI Information

  • NPI: 1174616817
  • Provider Name: KAMAL MOHAMAD FAKHREDDINE, D.D.S.
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 2006 1ST AVENUE NORTH
    STE 202
    ANOKA, MN
    ZIP 55303
  • Phone: (763) 427-7930

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NPI Details

Kamal Mohamad Fakhreddine, D.D.S. is a general practice dentist in Anoka, MN. The provider is 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. Kamal Mohamad Fakhreddine, D.D.S. NPI is 1174616817. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2006 1ST AVENUE NORTH
STE 202
ANOKA, MN
ZIP 55303
Phone: (763) 427-7930
Fax: (763) 427-7537

The enumeration date for this NPI number is 10/2/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice11008MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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