MIDWEST DENTAL
NPI 1104147735
Dentist in Centerville, MN

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

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

Active since June 17, 2010

1853 MAIN ST, CENTERVILLE, MN 55038(651) 653-3272(651) 653-3272 Get Directions Write a Review

NPPES record last updated: June 17, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Midwest Dental NPPES

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

MIDWEST DENTAL (NPI 1104147735) is a healthcare organization registered as a dentist in Centerville, Minnesota and active in the NPI registry since June 2010. The organization lists Jeffrey Moos, President, as its authorized official.

NPPES Registry Identity

NPI1104147735

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameMODERN DENTAL PROFESSIONALS, MINNESOTA PC

Location Address1853 MAIN STCenterville, MN 55038-9794

Mailing Address1853 Main StCenterville, MN 55038-9794 · (651) 653-3272 · Fax (651) 653-3272

Phone(651) 653-3272

Fax(651) 653-3272

Organization SubpartNo

Authorized OfficialJeffrey MoosPresident · (715) 926-5050

Enumeration DateJune 17, 2010

✔ NPI 1104147735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

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.

1853 MAIN ST, Centerville, MN 55038

Open in Google Maps ↗

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

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, Minnesota PC's NPI number?

The NPI number for Modern Dental Professionals, Minnesota PC is 1104147735. It was assigned to this organization in the NPPES registry on June 17, 2010. The provider is doing business as Midwest Dental.

Where is Modern Dental Professionals, Minnesota PC located?

Modern Dental Professionals, Minnesota PC is located at 1853 Main St, Centerville, MN 55038. The listed phone number is (651) 653-3272.

What is Modern Dental Professionals, Minnesota 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, Minnesota PC was last updated on June 17, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.