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

Massara Hasan

Individual provider Dentist · NPI 1063084465

Massara Hasan is a Dentist in Columbia Heights, Minnesota. Licensed in Illinois and Minnesota. Registered with an NPI since 2021.

Licensed in
IL, MN
In the registry since
2021
Specialties on file
2

Practice location Address checks out

5220 Central Ave NE Ste 240
Columbia Heights, MN 55421-1823
Phone: (763) 275-1319
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D14681 (MN)
Dentist Taxonomy 122300000X · Licence 019.033236 (IL)

Record details

NPI number1063084465
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 14, 2021
Last updated in NPPESJanuary 13, 2022
Certification dateJanuary 13, 2022
Mailing address675 Station Blvd Apt 204, Aurora, IL 60504-4047

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