DR. M.BASHAR AHMEDO (DDS) – Dentist, NPI 1417043316

DR. M.BASHAR AHMEDO (DDS) is a healthcare provider. based in Eagan, Minnesota. specializing in Dentist. They hold the professional credentials DDS. They hold a License No. 12287 (MN). The NPI Number for DR. M.BASHAR AHMEDO (DDS) is 1417043316

Main info

Male
Sole Proprietor
Name
DR. M.BASHAR AHMEDO (DDS)
NPI
1417043316
Phone
(651) 769-4625
Address
1247 TIMBERSHORE LN
Enumeration Date
5 October 2006
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. M.BASHAR AHMEDO (DDS)

  • 1247 - 1253, Timbershore Lane, Eagan, Dakota County, Minnesota, 55123, United States

    EAGAN, MN 551231020

    Phone: (651) 769-4625

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $139.

Total Amount is formed as General ($139) + Research ($0) + Ownership ($0) = $139.

Last reported payment date: 2023-08-31 • Largest payer in this snapshot: Straumann USA LLC ($139).

Total Amount

$139

General + Research + Ownership

Payments

3

Total payment records

General Amount

$139

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-31

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Straumann USA LLC$139
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55123)

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Reviews

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Frequently asked questions

How do I look up DR. M.BASHAR AHMEDO (DDS) by NPI?
Use NPI 1417043316 when you need to reference DR. M.BASHAR AHMEDO (DDS) in forms, claims, or directories.
Does this profile mean DR. M.BASHAR AHMEDO (DDS) is currently active?
Yes — DR. M.BASHAR AHMEDO (DDS) appears active in the national provider directory.
Does DR. M.BASHAR AHMEDO (DDS) list a primary specialty?
If you are matching referrals, note Dentist for DR. M.BASHAR AHMEDO (DDS). Clinical services aligned with this taxonomy classification.
What location shows for DR. M.BASHAR AHMEDO (DDS)?
We surface Eagan, Minnesota for DR. M.BASHAR AHMEDO (DDS) based on available NPPES addresses.
Is DR. M.BASHAR AHMEDO (DDS) a real provider?
This page reflects official NPPES data for NPI 1417043316. Always confirm identity and privileges with the practice and licensing boards.

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