MODERN DENTAL PROFESSIONALS, MINNESOTA PC (NPI# 1104147735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104147735 |
Entity Type | Organization |
Organization Name | MODERN DENTAL PROFESSIONALS, MINNESOTA PC |
Other Organization Name | MIDWEST DENTAL |
Practice Address |
1853 Main St Centerville MN 55038-9794 |
Practice Telephone | 6516533272 |
Practice Fax Number | 6516533272 |
Mailing Telephone | 6516533272 |
Mailing Fax Number | 6516533272 |
Enumeration Date | 2010-06-17 |
Last Update Date | 2010-06-17 |
Authorized Official Name | JEFFREY MOOS (PRESIDENT) |
Authorized Official Telephone | 7159265050 |
Authorized Official Credential | DDS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 122300000X | Dentist | Dental Providers |
Other Name | Type Code |
---|---|
Midwest Dental | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023250503 | Modern Dental Professionals, Minnesota PC | Dentist | 931 Whitewater Ave, Saint Charles, MN 55972-1130 | 2009-03-31 |
1952546160 | Modern Dental Professionals, Minnesota PC | Dentist | 680 Southview Blvd., South Saint Paul, MN 55075 | 2008-12-03 |
1821356502 | Modern Dental Professionals, Minnesota PC | Dentist | 3345 Dakota Ave S, St Louis Park, MN 55416-2039 | 2012-05-01 |
1427298637 | Modern Dental Professionals, Minnesota PC | Dentist | 412 Heritage Pl, Faribault, MN 55021-5248 | 2009-02-27 |
Street Address |
1853 MAIN ST |
City | CENTERVILLE |
State | MN |
Zip Code | 55038-9794 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861948093 | Shanasi Mason | Counselor | 7041 20th Ave S, Centerville, MN 55038 | 2016-08-28 |
1982052601 | Patricia Morgan-john | Counselor | 1784 Steven Lane, Centerville, MN 55038 | 2016-06-03 |
1811356306 | Drytech Co. LLC | Contractor | 13483 Fenway Blvd Circle No., Hugo, MN 55038 | 2016-02-12 |
1750748422 | Lisa Chong Jou | Counselor | 7041 20th Avenue South, Centerville, MN 55038 | 2016-01-26 |
1285997577 | William Michael Beeves | Counselor | 7041 20th Avenue S, Centerville, MN 55038 | 2012-06-21 |
1720230089 | Healtheast Medical Research Institute | Durable Medical Equipment & Medical Supplies | 14688 Everton Ave., Suite 101, Hugo, MN 55038 | 2008-10-17 |
1881868669 | Prili D Gandhi | Family Medicine | 14688 Everton Ave, He Hugo Clinic, Hugo, MN 55038 | 2008-04-14 |
1437276763 | Northeast Eye Care of Hugo | Optometrist | 14643 Mercantile Blvd, Suite 112, Hugo, MN 55038 | 2007-03-23 |
1134284631 | Hugo Dental Care Pa | Dentist | 5677 147th St N, Hugo, MN 55038 | 2006-12-26 |
1023172657 | Sean Patrick Bates | Dentist | 14755 Victor Hugo Blvd, Suite 103, Hugo, MN 55038 | 2006-12-20 |
Find all providers in zip 55038 |
Taxonomy Code | 122300000X |
Grouping | Dental Providers |
Classification | Dentist |
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427515667 | Centerville Dental Center Ohio LLC | Dentist | 9346 Dayton Lebanon Pike, Centerville, OH 45458-3839 | 2019-02-25 |
1497277628 | Saharnaz Tehranchi | Dentist | 331 W Parrish Ln Ste 101, Centerville, UT 84014-1853 | 2017-07-10 |
1538510748 | Chris Godfrey | Dentist | 2087 N 725 W, Centerville, UT 84014-3465 | 2016-06-29 |
1619323243 | Nathan Justice | Dentist | 9420 Dayton Lebanon Pike, Centerville, OH 45458-3860 | 2016-05-12 |
1356757769 | Adam Hinkley | Dentist | 6885 Castlerock Trl Apt D, Centerville, OH 45459-6028 | 2014-07-07 |
1063780047 | John C Gallagher | Dentist | 1820 Lyons Rd, Centerville, OH 45458-1839 | 2011-12-06 |
1366748410 | Kori & Everhartadvanced Dentistry, Scott M. Everhart Dds, LLC | Dentist | 401 Miamisburg Centerville Rd, Centerville, OH 45459-4753 | 2011-02-08 |
1659504884 | J Clarke Sanders Dds-centerville LLC | Dentist | 9420 Lebanon Pike, Centerville, OH 45458-3860 | 2009-09-04 |
1568681625 | David Harold Ellinger | Dentist | 107 East Franklin St, Centerville, OH 45459-4414 | 2007-04-25 |
1487879326 | John E Van Cleve IIi | Dentist | 108 E Swan St, Centerville, TN 37033-1444 | 2007-04-16 |
Find all providers in CENTERVILLE |
City | CENTERVILLE |
Zip Code | 55038 |
Please comment or provide details below to improve the information on MODERN DENTAL PROFESSIONALS, MINNESOTA PC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.