MIDWEST DENTAL
NPI 1487940284
Dentist - General Practice in West Saint Paul, MN

Q: 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.

Active since June 21, 2011

2059 ROBERT ST S, WEST SAINT PAUL, MN 55118(651) 457-9633(651) 457-3849 Get Directions Write a Review

NPPES record last updated: June 21, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Midwest Dental NPPES

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

MIDWEST DENTAL (NPI 1487940284) is a healthcare organization registered as a general practice in West Saint Paul, Minnesota and active in the NPI registry since June 2011. The organization lists Jeffrey W. Moos, Ceo, as its authorized official.

NPPES Registry Identity

NPI1487940284

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameMODERN DENTAL PROFESSIONALS MINNESOTA PC

Location Address2059 ROBERT ST SWest Saint Paul, MN 55118-3924

Mailing Address2059 Robert St SWest Saint Paul, MN 55118-3924 · (651) 457-9633 · Fax (651) 457-3849

Phone(651) 457-9633

Fax(651) 457-3849

Organization SubpartNo

Authorized OfficialJeffrey W. MoosCeo · (715) 926-5050

Enumeration DateJune 21, 2011

✔ NPI 1487940284 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.

2059 ROBERT ST S, West Saint Paul, MN 55118

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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

Other Providers at the Same Location NPPES 2

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

DR. TIMOTHY ALWORTH ANDERSON D.D.S

Dentist

2059 ROBERT ST S
WEST ST PAUL, MN 55118

Dakota County (651) 457-9633

DR. DAVID V SASS DDS

Dentist (General Practice)

2059 ROBERT ST S
SAINT PAUL, MN 55118

Dakota County (651) 457-9633

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 1487940284. It was assigned to this organization in the NPPES registry on June 21, 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 2059 Robert St S, West Saint Paul, MN 55118. The listed phone number is (651) 457-9633.

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.

When was this NPI record last updated?

The NPPES record for Modern Dental Professionals Minnesota PC was last updated on June 21, 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.