Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Al Shifa Dentistry PA

Organization Dental Clinic/Center · NPI 1760703151

Al Shifa Dentistry PA is a Dental Clinic/Center in Maple Grove, Minnesota. Licensed in Minnesota. Registered with an NPI since 2010.

Licensed in
MN
In the registry since
2010
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

12936 63rd Ave N
Maple Grove, MN 55369-6001
Phone: (763) 559-3400
Fax: (763) 559-3900
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence D12215 (MN)

Record details

NPI number1760703151
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nasir Latif — President · (612) 481-1976
NPI enumeratedJune 19, 2010
Last updated in NPPESJune 19, 2010
Mailing address12936 63rd Ave N, Maple Grove, MN 55369-6001

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