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

Dr. M Bashar Ahmedo, DDS

Individual provider Dentist · NPI 1417043316

Dr. M Bashar Ahmedo, DDS is a Dentist in Eagan, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

1247 Timbershore Ln
Eagan, MN 55123-1020
Phone: (651) 769-4625
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 12287 (MN)

Record details

NPI number1417043316
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedOctober 5, 2006
Last updated in NPPESJuly 8, 2007
Mailing address1247 Timbershore Ln, Eagan, MN 55123-1020

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