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MIDWEST DENTAL
NPI 1881060069
Dentist - General Practice in Minneapolis, MN

Active since August 11, 2015
3909 SILVER LAKE RD NE, MINNEAPOLIS, MN 55421(612) 789-3573(612) 789-9669 Get Directions Write a Review

NPPES record last updated: August 11, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Midwest Dental NPPES

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

MIDWEST DENTAL (NPI 1881060069) is a healthcare organization registered as a general practice in Minneapolis, Minnesota and active in the NPI registry since August 2015. The organization lists Jeffrey W Moos, Owner, as its authorized official.

NPPES Registry Identity

NPI1881060069
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMODERN DENTAL PROFESSIONALS, MN PC
Location Address3909 SILVER LAKE RD NEMinneapolis, MN 55421-4352
Mailing Address3909 Silver Lake Rd NeMinneapolis, MN 55421-4352 · (612) 789-3573 · Fax (612) 789-9669
Phone(612) 789-3573
Fax(612) 789-9669
Organization SubpartNo
Authorized OfficialJeffrey W MoosOwner · (715) 926-5050
Enumeration DateAugust 11, 2015
✔ NPI 1881060069 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.
3909 SILVER LAKE RD NE, Minneapolis, MN 55421
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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 8

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

DR. JOHN DAVID STEEN DDS
Dentist (General Practice)
3909 SILVER LAKE RD NE
MINNEAPOLIS, MN 55421
Anoka County (612) 789-3573
MARK CHARLES WALLACE, DDS, PC
Dentist (General Practice)
3909 SILVER LAKE RD NE
MINNEAPOLIS, MN 55421
Anoka County (612) 789-3573
DR. RAYMOND HELLICKSON DDS
Dentist (General Practice)
3909 SILVER LAKE RD NE
MINNEAPOLIS, MN 55421
Anoka County (612) 789-3573
ADVANCED DENTAL GROUP
Dentist (General Practice)
3909 SILVER LAKE RD NE
MINNEAPOLIS, MN 55421
Anoka County (612) 789-3573
DR. GLENN I LEPOR DDS
Dentist (Periodontics)
3909 SILVER LAKE RD NE
MINNEAPOLIS, MN 55421
Anoka County (612) 789-3573
DR. ANDY ALDRICH DDS
Dentist (General Practice)
3909 SILVER LAKE RD NE
MINNEAPOLIS, MN 55421
Anoka County (612) 789-3573
DR. RICHARD JOHN SINN DMD
Dentist (General Practice)
3909 SILVER LAKE RD NE
MINNEAPOLIS, MN 55421
Anoka County (612) 789-3573
DR. HOWARD W TAYLOR
Dentist (General Practice)
3909 SILVER LAKE RD NE
MINNEAPOLIS, MN 55421
Anoka County (612) 789-3573

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 1881060069. It was assigned to this organization in the NPPES registry on August 11, 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 3909 Silver Lake Rd NE, Minneapolis, MN 55421. The listed phone number is (612) 789-3573.

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 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.