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MIDWEST DENTAL
NPI 1073796744
Dentist in Lewiston, MN

Active since December 17, 2007
560 DEBRA DR, LEWISTON, MN 55952(507) 523-2267 Get Directions Write a Review

NPPES record last updated: December 17, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Midwest Dental NPPES

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

MIDWEST DENTAL (NPI 1073796744) is a healthcare organization registered as a dentist in Lewiston, Minnesota and active in the NPI registry since December 2007. The organization lists Jeffrey W Moos, Ceo, as its authorized official.

NPPES Registry Identity

NPI1073796744
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameMODERN DENTAL PROFESSIONALS, MN PC
Location Address560 DEBRA DRLewiston, MN 55952-2104
Mailing Address560 Debra DrLewiston, MN 55952-2104 · (507) 523-2267
Phone(507) 523-2267
Organization SubpartNo
Authorized OfficialJeffrey W MoosCeo · (715) 926-5050
Enumeration DateDecember 17, 2007
✔ NPI 1073796744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MN · D11386
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.
560 DEBRA DR, Lewiston, MN 55952
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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 2

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

DR. MICHAEL THOMAS FLYNN D.D.S.
Dentist (General Practice)
560 DEBRA DR
LEWISTON, MN 55952
Winona County (507) 523-2267
LEWISTON DENTAL CARE
Dentist (General Practice)
560 DEBRA DR
LEWISTON, MN 55952
Winona County (507) 523-1071

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 1073796744. It was assigned to this organization in the NPPES registry on December 17, 2007. The provider is doing business as Midwest Dental.

Where is Modern Dental Professionals, Mn PC located?

Modern Dental Professionals, Mn PC is located at 560 Debra Dr, Lewiston, MN 55952. The listed phone number is (507) 523-2267.

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

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Modern Dental Professionals, Mn PC was last updated on December 17, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.