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MIDWEST DENTAL
NPI 1710357520
Dentist - General Practice in Eagan, MN

Active since October 06, 2015
1625 LENA CT, SUITE 100, EAGAN, MN 55122(651) 452-4111(651) 452-8824 Get Directions Write a Review

NPPES record last updated: October 6, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Midwest Dental NPPES

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

MIDWEST DENTAL (NPI 1710357520) is a healthcare organization registered as a general practice in Eagan, Minnesota and active in the NPI registry since October 2015. The organization lists Jeffrey W. Moos, Owner, as its authorized official.

NPPES Registry Identity

NPI1710357520
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMODERN DENTAL PROFESSIONALS, MN PC
Location Address1625 LENA CT, SUITE 100Eagan, MN 55122-2959
Mailing Address1625 Lena Ct, Suite 100Eagan, MN 55122-2959 · (651) 452-4111 · Fax (651) 452-8824
Phone(651) 452-4111
Fax(651) 452-8824
Organization SubpartNo
Authorized OfficialJeffrey W. MoosOwner · (715) 829-2791
Enumeration DateOctober 6, 2015
✔ NPI 1710357520 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.
1625 LENA CT, Eagan, MN 55122
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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

Accepted Insurance

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

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 1710357520. It was assigned to this organization in the NPPES registry on October 6, 2015. The provider is doing business as Midwest Dental.

Where is Modern Dental Professionals, Mn PC located?

Modern Dental Professionals, Mn PC is located at 1625 Lena Ct Suite 100, Eagan, MN 55122. The listed phone number is (651) 452-4111.

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 October 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.