MIDWEST DENTAL - WHITE BEAR LAKE
NPI 1295238178
Dentist - General Practice in Saint Paul, MN

Active since March 16, 2018
4520 CENTERVILLE RD, SAINT PAUL, MN 55127(651) 426-4799(651) 426-8106 Get Directions Write a Review

NPPES record last updated: March 16, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Midwest Dental - White Bear Lake NPPES

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

MIDWEST DENTAL - WHITE BEAR LAKE (NPI 1295238178) is a healthcare organization registered as a general practice in Saint Paul, Minnesota and active in the NPI registry since March 2018. The organization lists Chad Hendricks, Director, Payer Strategy, as its authorized official.

NPPES Registry Identity

NPI1295238178
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMODERN DENTAL PROFESSIONALS MINNESOTA PC
Location Address4520 CENTERVILLE RDSaint Paul, MN 55127-3602
Mailing Address680 Hehli WayMondovi, WI 54755-1639 · (715) 598-2311 · Fax (715) 350-6855
Fax(651) 426-8106
Organization SubpartNo
Authorized OfficialChad HendricksDirector, Payer Strategy · (612) 351-6876
Enumeration DateMarch 16, 2018
NPI 1295238178 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.
4520 CENTERVILLE RD, Saint Paul, MN 55127

Other Names 1

Doing Business AsMidwest Dental - White Bear Lake

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 17

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

Family Medicine
4520 CENTERVILLE RD
SAINT PAUL, MN 55127
Pediatrics
4520 CENTERVILLE RD
VADNAIS HEIGHTS, MN 55127
Pediatrics
4520 CENTERVILLE RD
VADNAIS HEIGHTS, MN 55127
Dentist (General Practice)
4520 CENTERVILLE RD
SAINT PAUL, MN 55127
Dentist
4520 CENTERVILLE RD
SAINT PAUL, MN 55127
Eyewear Supplier
4520 CENTERVILLE RD
SAINT PAUL, MN 55127
Pediatrics
4520 CENTERVILLE RD
VADNAIS HEIGHTS, MN 55127
Dentist
4520 CENTERVILLE RD
SAINT PAUL, MN 55127

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 1295238178. It was assigned to this organization in the NPPES registry on March 16, 2018. The provider is doing business as Midwest Dental - White Bear Lake.

Where is Modern Dental Professionals Minnesota PC located?

Modern Dental Professionals Minnesota PC is located at 4520 Centerville Rd, Saint Paul, MN 55127. The listed phone number is (651) 426-4799.

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 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.