Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Blaine Dental LLC Dba Pro Dental

Organization Dentist · NPI 1063768687

Blaine Dental LLC Dba Pro Dental provides Dentist services in Blaine, Minnesota. Registered with an NPI since 2012.

In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10210 Baltimore St NE Ste 100
Blaine, MN 55449-6049 Not confirmed with CMS for 14 years — call before visiting
Phone: (763) 231-2050
Fax: (763) 231-2052
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1063768687
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Arif Nazir — Bds · (763) 231-2050
NPI enumeratedAugust 1, 2012
Last updated in NPPESAugust 1, 2012
Mailing address10210 Baltimore St Ne, Suite 100, Blaine, MN 55449-6049

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