SHIRAZ ASIF DDSLLC NPI 1215174917

NPI Information

  • NPI: 1215174917
  • Provider Name: SHIRAZ ASIF DDS,LLC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Doing Business As: ANDERSON LAKE DENTAL
  • Address: 8775 COLUMBINE RD
    EDEN PRAIRIE, MN
    ZIP 55344
  • Phone: (952) 942-0823

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NPI Details

SHIRAZ ASIF DDS,LLC is a dental clinic center in Eden Prairie, MN. SHIRAZ ASIF DDS,LLC NPI is 1215174917. The provider is registered as an organization entity type.
The provider Is Doing Business As Anderson Lake Dental.

The provider's business location address is:

8775 COLUMBINE RD
EDEN PRAIRIE, MN
ZIP 55344-695
Phone: (952) 942-0823

The provider's authorized official is Shiraz Mohammad Asif .
The authorized official title is Owner/dentist and has the following contact phone number (952) 942-0823.

The enumeration date for this NPI number is 1/16/2009 and was last updated on 1/16/2009.

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
1261QD0000XClinic/CenterDentalD12191MINNESOTANo
2261QD0000XClinic/CenterDentalYes

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: 11/21/2025

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