Healthcare Provider Details

I. General information

NPI: 1699601310
Provider Name (Legal Business Name): ONYX DENTAL, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2232 HENNEPIN AVE
MINNEAPOLIS MN
55405-2737
US

IV. Provider business mailing address

2232 HENNEPIN AVE
MINNEAPOLIS MN
55405-2737
US

V. Phone/Fax

Practice location:
  • Phone: 612-749-3314
  • Fax:
Mailing address:
  • Phone: 612-281-6866
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: SIYAD ABDULLAHI
Title or Position: CEO
Credential:
Phone: 612-281-6866