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

Artisan Dental PA

Organization Dentist · NPI 1245639517

Artisan Dental PA is a Dentist in Plymouth, Minnesota. Licensed in California and Minnesota. Registered with an NPI since 2014.

Licensed in
CA, MN
In the registry since
2014
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

4000 Annapolis Ln Ste 103
Plymouth, MN 55667
Phone: (763) 519-8880
Fax: (763) 519-8881

No coordinates on file. Search this address in Google Maps

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D11984 (MN)
Dentist Taxonomy 122300000X · Licence 58780 (CA)

Record details

NPI number1245639517
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kamal Ahmed — President · (763) 519-8880
NPI enumeratedAugust 22, 2014
Last updated in NPPESAugust 22, 2014
Mailing address4000-Annapolis Ln. Suite 103., Plymouth, MN 55667

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