Dr. Evgeny Bashirov , DDS
Dentist - General Practice • Minneapolis, MN
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. Evgeny Bashirov has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Evgeny Bashirov, DDS was a registered Dentist - General Practice practicing in Minneapolis, MN. Throughout an active medical career spanning 2 years, Dr. Bashirov provided care at the practice location at 4201 MINNEHAHA AVE until profile deactivation on 2021-11-22.
Practice Location & Contact Primary Location
4201 Minnehaha Ave
Minneapolis, MN 554063303
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Minneapolis, MN
Practicing in Minneapolis, MN (2262 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
CMS Verified: 2021-12-09NUCC Taxonomy Code: 1223G0001X
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
277 3rd St N
Bayport, MN 550031028
Phone: 6514392352
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Dentist - General Practice
Doctor of Dental Surgery
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record officially reactivated for active practice on December 09, 2021
Registered at 4201 MINNEHAHA AVE, MINNEAPOLIS, MN 554063303 (Tel: 6127212833)
Registered at 4201 MINNEHAHA AVE, MINNEAPOLIS, MN 554063303 (Tel: 6127212833)
Record deactivated on November 22, 2021
NPI status registered as active in NPPES database
Registered at 277 3RD ST N, BAYPORT, MN 550031028 (Tel: 6514392352)
Registered at 277 3RD ST N, BAYPORT, MN 550031028 (Tel: 6514392352)
Recorded as EVGENY BASHIROV, DDS
Dentist (License #D14242 in MN)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
4201 Minnehaha Ave
Minneapolis, MN 554063303
Phone: 6127212833
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.