NORTH STAR PEDIATRIC DENTISTRY – Pediatric Dentistry, NPI 1902775786

NORTH STAR PEDIATRIC DENTISTRY is a healthcare provider. based in Minneapolis, Minnesota. specializing in Pediatric Dentistry. The NPI Number for NORTH STAR PEDIATRIC DENTISTRY is 1902775786

Main info

Organization
Name
NORTH STAR PEDIATRIC DENTISTRY
NPI
1902775786
Phone
Not provided
Address
2333 JACKSON ST NE APT 222
Authorized Official
DR. ELIAS KAMAL ABDI OWNER/PEDIATRIC DENTIST DDS
Enumeration Date
31 October 2025
Last Update Date
31 October 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience15
Completeness85
Years active:0State licenses:0Digital endpointsOther names

Provider Addresses for NORTH STAR PEDIATRIC DENTISTRY

  • 2333 JACKSON ST NE APT 222

    MINNEAPOLIS, MN 554181845

    Phone:

    Type: Mailing

  • 9708 63RD AVE N STE 102

    MAPLE GROVE, MN 553696252

    Phone: (202) 378-4707

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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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.

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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 55418)

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Reviews

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Frequently asked questions

Can I cross-check NORTH STAR PEDIATRIC DENTISTRY using NPI 1902775786?
NPI 1902775786 belongs to NORTH STAR PEDIATRIC DENTISTRY; compare other details if you need extra assurance.
Active or inactive — what applies to NORTH STAR PEDIATRIC DENTISTRY?
You should see NORTH STAR PEDIATRIC DENTISTRY as active in CMS-hosted NPPES data.
What expertise is attributed to NORTH STAR PEDIATRIC DENTISTRY?
NORTH STAR PEDIATRIC DENTISTRY's specialty line reads Pediatric Dentistry. Clinical services aligned with this taxonomy classification.
Where in Minnesota is NORTH STAR PEDIATRIC DENTISTRY registered?
Use Minneapolis, Minnesota as the headline location for NORTH STAR PEDIATRIC DENTISTRY here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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