WOODBURY MODERN DENTISTRY, PC
NPI 1205777182
Dentist - General Practice in Woodbury, MN

Q: What is Woodbury Modern Dentistry, PC's NPI number?

The NPI number for Woodbury Modern Dentistry, PC is 1205777182. It was assigned to this organization in the NPPES registry on April 3, 2026. The provider is doing business as Woodbury Modern Dentistry.

Q: What is Woodbury Modern Dentistry, PC's specialty?

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

Active since April 03, 2026

265 RADIO DR STE E, WOODBURY, MN 55125(612) 294-6742(612) 285-3884 Get Directions Write a Review

NPPES record last updated: April 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Woodbury Modern Dentistry, Pc NPPES

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

WOODBURY MODERN DENTISTRY, PC (NPI 1205777182), doing business as Woodbury Modern Dentistry, is a healthcare organization registered as a general practice in Woodbury, Minnesota and active in the NPI registry since April 2026. The organization lists Mitchell C Wilkinson, Owner, as its authorized official.

NPPES Registry Identity

NPI1205777182

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameWOODBURY MODERN DENTISTRY, PC

Location Address265 RADIO DR STE EWoodbury, MN 55125-5809

Mailing AddressPo Box 660041Dallas, TX 75266-0041 · (714) 845-8890 · Fax (303) 952-0892

Phone(612) 294-6742

Fax(612) 285-3884

Organization SubpartNo

Authorized OfficialMitchell C WilkinsonOwner · (612) 294-6742

Enumeration DateApril 3, 2026

NPPES CertifiedApril 3, 2026

✔ NPI 1205777182 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.

265 RADIO DR STE E, Woodbury, MN 55125

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Other Names 1

Doing Business AsWoodbury Modern Dentistry

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 Woodbury Modern Dentistry, PC's NPI number?

The NPI number for Woodbury Modern Dentistry, PC is 1205777182. It was assigned to this organization in the NPPES registry on April 3, 2026. The provider is doing business as Woodbury Modern Dentistry.

Where is Woodbury Modern Dentistry, PC located?

Woodbury Modern Dentistry, PC is located at 265 Radio Dr Ste E, Woodbury, MN 55125. The listed phone number is (612) 294-6742.

What is Woodbury Modern Dentistry, 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 Woodbury Modern Dentistry, PC was last updated on April 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.