MIDWEST DENTAL RENVILLE
NPI 1679853451
Dentist - General Practice in Renville, MN

Active since August 24, 2011
107 DUPONT AVE NW, RENVILLE, MN 56284(715) 926-5050 Get Directions Write a Review

NPPES record last updated: August 24, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Midwest Dental Renville NPPES

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

MIDWEST DENTAL RENVILLE (NPI 1679853451) is a healthcare organization registered as a general practice in Renville, Minnesota and active in the NPI registry since August 2011. The organization lists James Myer, Cfo, as its authorized official.

NPPES Registry Identity

NPI1679853451
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMODERN DENTAL PROFESSIONALS, MN PC
Location Address107 DUPONT AVE NWRenville, MN 56284
Mailing Address680 Hehli WayMondovi, WI 54755-1639 · (320) 329-8321
Organization SubpartNo
Authorized OfficialJames MyerCfo · (715) 926-5050
Enumeration DateAugust 24, 2011
NPI 1679853451 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.
107 DUPONT AVE NW, Renville, MN 56284

Other Names 1

Doing Business AsMidwest Dental Renville

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.

Chiropractor
107 DUPONT AVE NW
RENVILLE, MN 56284
Dentist
107 DUPONT AVE NW
RENVILLE, MN 56284

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, Mn PC's NPI number?

The NPI number for Modern Dental Professionals, Mn PC is 1679853451. It was assigned to this organization in the NPPES registry on August 24, 2011. The provider is doing business as Midwest Dental Renville.

Where is Modern Dental Professionals, Mn PC located?

Modern Dental Professionals, Mn PC is located at 107 Dupont Ave NW, Renville, MN 56284. The listed phone number is (715) 926-5050.

What is Modern Dental Professionals, Mn 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, Mn PC was last updated on August 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.