MIDWEST DENTAL
NPI 1003286808
Dentist - General Practice in Coon Rapids, MN

Q: What is Modern Dental Professionals, Mn PC's NPI number?

The NPI number for Modern Dental Professionals, Mn PC is 1003286808. It was assigned to this organization in the NPPES registry on October 6, 2015. The provider is doing business as Midwest Dental.

Q: What is Modern Dental Professionals, Mn PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since October 06, 2015

2147 NORTHDALE BLVD NW, NWOOD, COON RAPIDS, MN 55433(763) 767-4888(763) 767-4889 Get Directions Write a Review

NPPES record last updated: October 6, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Midwest Dental NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIDWEST DENTAL (NPI 1003286808) is a healthcare organization registered as a general practice in Coon Rapids, Minnesota and active in the NPI registry since October 2015. The organization lists Jeffrey W Moos, Owner, as its authorized official.

NPPES Registry Identity

NPI1003286808

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameMODERN DENTAL PROFESSIONALS, MN PC

Location Address2147 NORTHDALE BLVD NW, NWOODCoon Rapids, MN 55433-3006

Mailing Address2147 Northdale Blvd Nw, NwoodCoon Rapids, MN 55433-3006 · (763) 767-4888 · Fax (763) 767-4889

Phone(763) 767-4888

Fax(763) 767-4889

Organization SubpartNo

Authorized OfficialJeffrey W MoosOwner · (715) 829-2791

Enumeration DateOctober 6, 2015

✔ NPI 1003286808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

2147 NORTHDALE BLVD NW, Coon Rapids, MN 55433

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Other Names 1

Doing Business AsMidwest Dental

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FAMILY & COSMETIC GENTLE DENTISTRY, LTD

Dentist (General Practice)

2147 NORTHDALE BLVD NW
COON RAPIDS, MN 55433

Anoka County (651) 209-3139

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Modern Dental Professionals, Mn PC's NPI number?

The NPI number for Modern Dental Professionals, Mn PC is 1003286808. It was assigned to this organization in the NPPES registry on October 6, 2015. The provider is doing business as Midwest Dental.

Where is Modern Dental Professionals, Mn PC located?

Modern Dental Professionals, Mn PC is located at 2147 Northdale Blvd NW Nwood, Coon Rapids, MN 55433. The listed phone number is (763) 767-4888.

What is Modern Dental Professionals, Mn PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Modern Dental Professionals, Mn PC was last updated on October 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.