Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1154811404 Individual Practitioner Male Practitioner

Dr. Mohamed Mukhtar Ali , DDS

Dentist - General Practice • Minneapolis, MN

Professional Overview & Biography Verified Profile Summary

Dr. Mohamed Ali, DDS is a registered healthcare professional specializing in Dentist - General Practice in Minneapolis, MN. Practice services are available at 4700 CEDAR AVE S under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4700 Cedar Ave S

Minneapolis, MN 55407

Telephone 2407654938
Associated Practice Facility / Clinic
🏢 Lakeshore Dental Facility NPI 1356801799

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Minneapolis, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 33.0 Yrs
State Avg: 33.3 Yrs
Regional Practice Density
214 Specialists

Practicing in Minneapolis, 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 D13977

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.

Secondary Practice Locations

964 Lynn Rd Sw

Hutchinson, MN 553503151

Phone: 3202286538

964 Lynn Rd Sw

Hutchinson, MN 553503151

Phone: 3202286538

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location December 19, 2018

Registered at 4700 CEDAR AVE S, MINNEAPOLIS, MN 55407 (Tel: 2407654938)

📍
Updated Business Mailing Address December 19, 2018

Registered at 8680 MARIGOLD CIR APT 307, EDEN PRAIRIE, MN 553447641 (Tel: 2407654938)

NPI Profile Active May 12, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location May 12, 2018

Registered at 964 LYNN RD SW, HUTCHINSON, MN 553503151 (Tel: 3202286538)

📍
Updated Business Mailing Address May 12, 2018

Registered at 635 PRAIRIE CENTER DR APT 175, EDEN PRAIRIE, MN 553445357

👤
Provider Name / Credentials Updated May 12, 2018

Recorded as MOHAMED ALI, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 12, 2018

Dentist (License #D13977 in MN)

🟢
Initial NPI Registration & Enumeration May 12, 2018

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: 1154811404
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 12, 2018
Last Update: December 19, 2018
Sole Proprietor: No

Mailing Address

8680 Marigold Cir Apt 307

Eden Prairie, MN 553447641

Phone: 2407654938

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.