Organization · Type 2 NPI

Advanced Dental Lab

Dental Laboratory Technician · Fridley, MN

NPI number 1235042565 Active

Practice location

7362 University Ave NE Ste 300
Fridley, MN 55432-3150

Specialties and licenses

TaxonomyCodeLicense
Dental Laboratory Technician Primary 126900000XNone listed

Dental Laboratory Technician: An individual who has the skill and knowledge in the fabrication of dental appliances, prostheses and devices in accordance with a dentist's laboratory work authorization. To avoid misleading the public, no occupational title other than dental laboratory technician or certified dental technician (when appropriate) should be used to describe this auxiliary.

About NPI 1235042565

Advanced Dental Lab's National Provider Identifier is 1235042565, issued on Sep 26, 2026. The primary taxonomy on file is Dental Laboratory Technician (126900000X), and the practice location is in Fridley, MN. The record was last updated on Sep 26, 2026.