MIDWEST DENTAL
NPI 1255639696
Dentist - General Practice in Eagan, MN

Active since March 09, 2011
1121 TOWN CENTRE DR, #200, EAGAN, MN 55123(651) 454-4771(651) 406-9298 Get Directions Write a Review

NPPES record last updated: March 9, 2011. 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 1255639696) is a healthcare organization registered as a general practice in Eagan, Minnesota and active in the NPI registry since March 2011. The organization lists James Myer, Cfo, as its authorized official.

NPPES Registry Identity

NPI1255639696
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMODERN DENTAL PROFESSIONALS MINNESOTA PC
Location Address1121 TOWN CENTRE DR, #200Eagan, MN 55123-1199
Mailing Address1121 Town Centre Dr, #200Eagan, MN 55123-1199 · (651) 454-4771 · Fax (651) 406-9298
Fax(651) 406-9298
Organization SubpartNo
Authorized OfficialJames MyerCfo · (715) 926-5050
Enumeration DateMarch 9, 2011
NPI 1255639696 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.
1121 TOWN CENTRE DR, Eagan, MN 55123

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

Accepted Insurance

Other Providers at the Same Location NPPES 4

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

Chiropractor
1121 TOWN CENTRE DR, SUITE 105
EAGAN, MN 55123
Psychologist
1121 TOWN CENTRE DR
EAGAN, MN 55123
Chiropractor
1121 TOWN CENTRE DR, SUITE 202
EAGAN, MN 55123
Dentist
1121 TOWN CENTRE DR, SUITE #200
EAGAN, MN 55123

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 1255639696. It was assigned to this organization in the NPPES registry on March 9, 2011. The provider is doing business as Midwest Dental.

Where is Modern Dental Professionals Minnesota PC located?

Modern Dental Professionals Minnesota PC is located at 1121 Town Centre Dr #200, Eagan, MN 55123. The listed phone number is (651) 454-4771.

What is Modern Dental Professionals Minnesota PC's specialty?

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

What insurance does Modern Dental Professionals Minnesota PC accept?

Health plans from UnitedHealthcare list Modern Dental Professionals Minnesota PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Modern Dental Professionals Minnesota PC was last updated on March 9, 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.