IndividualActive
Ahmad Abdallah, BA, DMD
NPI 1235829813 · General Practice Dentistry · Woodbury, MN
Provider details
- NPI number
- 1235829813
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- BA, DMD
- Sex
- Male
- Sole proprietor
- No
- License
- D15087 (MN)
Specialties & taxonomies
Dental Providers
Practice location
1625 Radio Dr
Woodbury, MN 55125-9407
Phone: (651) 340-0772
Approximate (ZIP-level) locationGet directions
Mailing address
11761 Arnold Palmer Ct
Blaine, MN 55449-4525
Additional practice locations (2)
- 11761 Arnold Palmer CtBlaine, MN 55449-4525Phone: (651) 354-2514
- 334 E Lake StMinneapolis, MN 55408-2407Phone: (612) 910-1131
Registry dates
- Enumerated
- 2023-05-09
- Last updated
- 2025-04-08
- Certified
- 2025-04-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.