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MODERN DENTAL LLC
NPI 1265309496
Dentist - General Practice in Sioux Falls, SD

Active since October 22, 2025
5912 E 18 STREET, SIOUX FALLS, SD 57110(605) 261-4697 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Modern Dental Llc NPPES

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

MODERN DENTAL LLC (NPI 1265309496) is a healthcare organization registered as a general practice in Sioux Falls, South Dakota and active in the NPI registry since October 2025. The organization lists Chris Diaz-freed, Owner, as its authorized official.

NPPES Registry Identity

NPI1265309496
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMODERN DENTAL LLC
Location Address5912 E 18 STREETSioux Falls, SD 57110
Mailing Address8604 S Quiet Oak CirSioux Falls, SD 57108-4138 · (605) 261-4697
Phone(605) 261-4697
Organization SubpartNo
Authorized OfficialChris Diaz-freedOwner · (605) 261-4697
Enumeration DateOctober 22, 2025
NPPES CertifiedOctober 2, 2025
✔ NPI 1265309496 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.
5912 E 18 STREET, Sioux Falls, SD 57110
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Other Identifiers 2

Medicaid1275784605SD
Medicaid1710141726SD

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 LLC's NPI number?

The NPI number for Modern Dental LLC is 1265309496. It was assigned to this organization in the NPPES registry on October 22, 2025.

Where is Modern Dental LLC located?

Modern Dental LLC is located at 5912 E 18 Street, Sioux Falls, SD 57110. The listed phone number is (605) 261-4697.

What is Modern Dental LLC'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 LLC was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.