MODERN DENTAL PROFESSIONALS, MINNESOTA PC


Address: 1853 Main St, Centerville, MN 55038-9794
Phone: 6516533272

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist Dental Providers

Other Provider/Organization Names

Other Name Type Code
Midwest Dental Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 1853 MAIN ST
City CENTERVILLE
State MN
Zip Code 55038-9794

Providers in the same zip code

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 Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

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

Providers in the same taxonomy and city

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

Competitor

Search similar providers

City CENTERVILLE
Zip Code 55038

Improve Information

Please comment or provide details below to improve the information on MODERN DENTAL PROFESSIONALS, MINNESOTA PC.

Dataset Information

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.

Trending Searches