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Deactivated NPI 1609928563 Deactivated / Inactive NPI Male Practitioner

Dr. Majid Fehresti , DDS

Dentist - General Practice • Champlin, MN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Majid Fehresti has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 18, 2007
NPI Deactivation Date June 04, 2026
Total Practice Duration ~19 Years of Practice (2007 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Majid Fehresti, DDS was a registered Dentist - General Practice practicing in Champlin, MN. Throughout an active medical career spanning 19 years, Dr. Fehresti provided care at the practice location at 12027 BUSINESS PARK BLVD N until profile deactivation on 2026-06-04.

Practice Location & Contact Primary Location

Practice Address

12027 Business Park Blvd N

Champlin, MN 553164526

Telephone 7634217900
Fax 7634217916
Associated Practice Facility / Clinic
🏢 Twin Cities Dental, Pa Facility NPI 1376877316

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Champlin, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 33.3 Yrs
Regional Practice Density
11 Specialists

Practicing in Champlin, MN (2262 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MN D12034

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Amirali Behdani

Dentist - General Practice

NPI 1649964016

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 04, 2026

Record deactivated on June 04, 2026

NPI Profile Active May 16, 2016

NPI status registered as active in NPPES database

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Updated Practice Location May 16, 2016

Registered at 12027 BUSINESS PARK BLVD N, CHAMPLIN, MN 553164526 (Tel: 7634217900)

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Updated Business Mailing Address May 16, 2016

Registered at 12027 BUSINESS PARK BLVD N, CHAMPLIN, MN 553164526 (Tel: 7634217900)

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Provider Name / Credentials Updated May 16, 2016

Recorded as MAJID FEHRESTI, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 16, 2016

Dentist (License #D12034 in MN)

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Initial NPI Registration & Enumeration January 18, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1609928563
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 18, 2007
Last Update: May 16, 2016
Deactivation Date: June 04, 2026

Mailing Address

12027 Business Park Blvd N

Champlin, MN 553164526

Phone: 7634217900

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.