MIDWEST DENTAL - ST. LOUIS PARK
NPI 1821356502
Dentist - General Practice in St Louis Park, 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 May 01, 2012

3345 DAKOTA AVE S, ST LOUIS PARK, MN 55416(952) 929-9450(952) 929-1095 Get Directions Write a Review

NPPES record last updated: May 1, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Midwest Dental - St. Louis Park NPPES

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

MIDWEST DENTAL - ST. LOUIS PARK (NPI 1821356502) is a healthcare organization registered as a general practice in St Louis Park, Minnesota and active in the NPI registry since May 2012. The organization lists Jeffrey W Moos, Owner, as its authorized official.

NPPES Registry Identity

NPI1821356502

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameMODERN DENTAL PROFESSIONALS, MINNESOTA PC

Location Address3345 DAKOTA AVE SSt Louis Park, MN 55416-2039

Mailing Address3345 Dakota Ave SSt Louis Park, MN 55416-2039 · (952) 929-9450 · Fax (952) 929-1095

Phone(952) 929-9450

Fax(952) 929-1095

Organization SubpartNo

Authorized OfficialJeffrey W MoosOwner · (715) 926-5050

Enumeration DateMay 1, 2012

✔ NPI 1821356502 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.

3345 DAKOTA AVE S, St Louis Park, MN 55416

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Other Names 1

Doing Business AsMidwest Dental - St. Louis Park

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. ANDREA K RUBY D.M.D.

Dentist

3345 DAKOTA AVE S
ST LOUIS PARK, MN 55416

Hennepin County (952) 929-9450

JEFFREY H. MILLER, DDS.

Dentist (General Practice)

3345 DAKOTA AVE S
ST LOUIS PARK, MN 55416

Hennepin County (952) 929-9450

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 1821356502. It was assigned to this organization in the NPPES registry on May 1, 2012. The provider is doing business as Midwest Dental - St. Louis Park.

Where is Modern Dental Professionals, Minnesota PC located?

Modern Dental Professionals, Minnesota PC is located at 3345 Dakota Ave S, St Louis Park, MN 55416. The listed phone number is (952) 929-9450.

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.

What insurance does Modern Dental Professionals, Minnesota PC accept?

Health plans from UnitedHealthcare list Modern Dental Professionals, Minnesota 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, Minnesota PC was last updated on May 1, 2012. 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.