Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1306998265 Individual Practitioner Male Practitioner

Dr. Nasir Kamran Latif , DDS

Dentist - General Practice • Maple Grove, MN

Professional Overview & Biography Verified Profile Summary

Dr. Nasir Latif, DDS is a registered healthcare professional specializing in Dentist - General Practice in Maple Grove, MN. Practice services are available at 12936 63RD AVE N under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12936 63rd Ave N

Maple Grove, MN 55369

Telephone 7635593400
Fax 7635593900
Associated Practice Facility / Clinic
🏢 Al Shifa Dentistry Pa Facility NPI 1760703151

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Maple Grove, MN

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

Practicing in Maple Grove, 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 D12215

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

3 Associated Practitioners
Megan Becker , MDT

Dental Therapist

NPI 1013395136
Drew Christianson , MDT

Advanced Practice Dental Therapist

NPI 1164836334
Bria Kaiser , MDT

Dental Therapist

NPI 1932504651

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 06, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location July 06, 2010

Registered at 12936 63RD AVE N, MAPLE GROVE, MN 55369 (Tel: 7635593400)

📍
Updated Business Mailing Address July 06, 2010

Registered at 12936 63RD AVE N, MAPLE GROVE, MN 55369 (Tel: 7635593400)

👤
Provider Name / Credentials Updated July 06, 2010

Recorded as NASIR LATIF, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 06, 2010

Dentist (License #D12215 in MN)

🟢
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: 1306998265
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 18, 2007
Last Update: July 06, 2010
Sole Proprietor: Yes

Mailing Address

12936 63rd Ave N

Maple Grove, MN 55369

Phone: 7635593400

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.