IndividualActive
M.bashar Ahmedo, DDS
NPI 1417043316 · Dentist · Eagan, MN
M.bashar Ahmedo, DDS is a Dentist provider in Eagan, MN (NPI 1417043316).
Provider details
- NPI number
- 1417043316
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 12287 (MN)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1247 Timbershore Ln
Eagan, MN 55123-1020
Phone: (651) 769-4625
Street-level locationGet directions
Mailing address
1247 Timbershore Ln
Eagan, MN 55123-1020
Registry dates
- Enumerated
- 2006-10-05
- Last updated
- 2007-07-08
Frequently asked questions
- What is M.bashar Ahmedo's NPI number?
- M.bashar Ahmedo's National Provider Identifier (NPI) is 1417043316, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is M.bashar Ahmedo's specialty?
- M.bashar Ahmedo is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is M.bashar Ahmedo located?
- M.bashar Ahmedo's practice location on file with NPPES is 1247 Timbershore Ln, Eagan, MN 55123-1020.
- What is M.bashar Ahmedo's phone number?
- The practice phone number listed in the NPPES registry for M.bashar Ahmedo is (651) 769-4625.
- Is M.bashar Ahmedo's NPI active?
- Yes — M.bashar Ahmedo's NPI (1417043316) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.