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MIDWEST DENTAL
NPI 1144513565
Dentist - General Practice in Worthington, MN

Active since May 18, 2011
507 S SHORE DR, WORTHINGTON, MN 56187(507) 372-2072(507) 372-2362 Get Directions Write a Review

NPPES record last updated: May 18, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Midwest Dental NPPES

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

MIDWEST DENTAL (NPI 1144513565) is a healthcare organization registered as a general practice in Worthington, Minnesota and active in the NPI registry since May 2011. The organization lists Jeffrey W Moos, Ceo, as its authorized official.

NPPES Registry Identity

NPI1144513565
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMODERN DENTAL PROFESSIONALS, MN PC
Location Address507 S SHORE DRWorthington, MN 56187-1400
Mailing Address507 S Shore DrWorthington, MN 56187-1400 · (507) 372-2072 · Fax (507) 372-2362
Phone(507) 372-2072
Fax(507) 372-2362
Organization SubpartNo
Authorized OfficialJeffrey W MoosCeo · (715) 926-5050
Enumeration DateMay 18, 2011
✔ NPI 1144513565 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.
507 S SHORE DR, Worthington, MN 56187
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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

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 1144513565. It was assigned to this organization in the NPPES registry on May 18, 2011. The provider is doing business as Midwest Dental.

Where is Modern Dental Professionals, Mn PC located?

Modern Dental Professionals, Mn PC is located at 507 S Shore Dr, Worthington, MN 56187. The listed phone number is (507) 372-2072.

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 May 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.