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COON RAPIDS MODERN DENTISTRY, PC
NPI 1295431138
Dentist in Coon Rapids, MN

Active since February 02, 2023
3320 124TH AVE NW, COON RAPIDS, MN 55433(763) 290-6623 Get Directions Write a Review

NPPES record last updated: February 2, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Coon Rapids Modern Dentistry, Pc NPPES

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

COON RAPIDS MODERN DENTISTRY, PC (NPI 1295431138), doing business as Coon Rapids Modern Dentistry, is a healthcare organization registered as a dentist in Coon Rapids, Minnesota and active in the NPI registry since February 2023. The organization lists Parvathi Jithendranathan, Owner, as its authorized official.

NPPES Registry Identity

NPI1295431138
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameCOON RAPIDS MODERN DENTISTRY, PC
Location Address3320 124TH AVE NWCoon Rapids, MN 55433-1001
Mailing AddressPo Box 920050Dallas, TX 75392-0050
Phone(763) 290-6623
Organization SubpartNo
Authorized OfficialParvathi JithendranathanOwner · (763) 290-6623
Enumeration DateFebruary 2, 2023
NPPES CertifiedFebruary 2, 2023
✔ NPI 1295431138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
3320 124TH AVE NW, Coon Rapids, MN 55433
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Other Names 1

Doing Business AsCoon Rapids 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

Other Providers at the Same Location NPPES

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

DR. ANNIE CHEN D.D.S.
Dentist (Endodontics)
3320 124TH AVE NW
COON RAPIDS, MN 55433
Anoka County (763) 290-6623

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 Coon Rapids Modern Dentistry, PC's NPI number?

The NPI number for Coon Rapids Modern Dentistry, PC is 1295431138. It was assigned to this organization in the NPPES registry on February 2, 2023. The provider is doing business as Coon Rapids Modern Dentistry.

Where is Coon Rapids Modern Dentistry, PC located?

Coon Rapids Modern Dentistry, PC is located at 3320 124th Ave NW, Coon Rapids, MN 55433. The listed phone number is (763) 290-6623.

What is Coon Rapids Modern Dentistry, PC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Coon Rapids Modern Dentistry, PC was last updated on February 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.