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MIDWEST DENTAL - WACONIA
NPI 1679866735
Dentist - General Practice in Waconia, MN

Active since May 24, 2011
24 S OLIVE ST, WACONIA, MN 55387(952) 442-2518(952) 442-5040 Get Directions Write a Review

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

About Midwest Dental - Waconia NPPES

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

MIDWEST DENTAL - WACONIA (NPI 1679866735) is a healthcare organization registered as a general practice in Waconia, Minnesota and active in the NPI registry since May 2011. The organization lists Jeffrey W Moos, President - Ceo, as its authorized official.

NPPES Registry Identity

NPI1679866735
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMODERN DENTAL PROFESSIONALS MN PC
Location Address24 S OLIVE STWaconia, MN 55387-1404
Mailing Address24 S Olive StWaconia, MN 55387-1404 · (952) 442-2518 · Fax (952) 442-5040
Phone(952) 442-2518
Fax(952) 442-5040
Organization SubpartNo
Authorized OfficialJeffrey W MoosPresident - Ceo · (715) 926-5050
Enumeration DateMay 24, 2011
✔ NPI 1679866735 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.
24 S OLIVE ST, Waconia, MN 55387
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Other Names 1

Doing Business AsMidwest Dental - Waconia

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

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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. MARK F BRADSHAW DDS
Dentist
24 S OLIVE ST
WACONIA, MN 55387
Carver County (952) 442-2518
DR. ABIGAIL CHRISTINE GREGOR
Dentist (General Practice)
24 S OLIVE ST
WACONIA, MN 55387
Carver County (952) 442-2518

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 1679866735. It was assigned to this organization in the NPPES registry on May 24, 2011. The provider is doing business as Midwest Dental - Waconia.

Where is Modern Dental Professionals Mn PC located?

Modern Dental Professionals Mn PC is located at 24 S Olive St, Waconia, MN 55387. The listed phone number is (952) 442-2518.

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.

What insurance does Modern Dental Professionals Mn PC accept?

Health plans from UnitedHealthcare list Modern Dental Professionals Mn 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 Mn PC was last updated on May 24, 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.