ADVANCED DENTAL LAB NPI 1235042565

NPI Information

  • NPI: 1235042565
  • Provider Name: ADVANCED DENTAL LAB
  • Classification: Dental Laboratory Technician - 126900000X
  • Entity Type: Organization
  • Address: 7362 UNIVERSITY AVE NE STE 300
    FRIDLEY, MN
    ZIP 55432
  • Phone: (763) 571-4887

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NPI Details

ADVANCED DENTAL LAB is a dental laboratory technician in Fridley, MN. The provider is an individual who has the skill and knowledge in the fabrication of dental appliances, prostheses and devices in accordance with a dentist's laboratory work authorization. To avoid misleading the public, no occupational title other than dental laboratory technician or certified dental technician (when appropriate) should be used to describe this auxiliary. ADVANCED DENTAL LAB NPI is 1235042565. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7362 UNIVERSITY AVE NE STE 300
FRIDLEY, MN
ZIP 55432-150
Phone: (763) 571-4887

The provider's authorized official is Hass H Salti .
The authorized official title is Owner and has the following contact phone number (763) 528-0775.

The enumeration date for this NPI number is 9/26/2026 and was last updated on 9/26/2026.

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
1126900000XDental Laboratory TechnicianYes

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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