MIDWEST DENTAL - SOUTH ST. PAUL
NPI 1952546160
Dentist - General Practice in South Saint Paul, 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 December 03, 2008

680 SOUTHVIEW BLVD., SOUTH SAINT PAUL, MN 55075(651) 455-2297(651) 455-9223 Get Directions Write a Review

NPPES record last updated: December 3, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Midwest Dental - South St. Paul NPPES

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

MIDWEST DENTAL - SOUTH ST. PAUL (NPI 1952546160) is a healthcare organization registered as a general practice in South Saint Paul, Minnesota and active in the NPI registry since December 2008. The organization lists Lori J Pelke, Professional Services, as its authorized official.

NPPES Registry Identity

NPI1952546160

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameMODERN DENTAL PROFESSIONALS, MINNESOTA PC

Location Address680 SOUTHVIEW BLVD.South Saint Paul, MN 55075

Mailing Address680 Southview Blvd.South St. Paul, MN 55075 · (651) 455-2297 · Fax (651) 455-9223

Phone(651) 455-2297

Fax(651) 455-9223

Organization SubpartNo

Authorized OfficialLori J PelkeProfessional Services · (715) 926-5050

Enumeration DateDecember 3, 2008

✔ NPI 1952546160 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.

680 SOUTHVIEW BLVD., South Saint Paul, MN 55075

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Other Names 1

Doing Business AsMidwest Dental - South St. Paul

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

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 1952546160. It was assigned to this organization in the NPPES registry on December 3, 2008. The provider is doing business as Midwest Dental - South St. Paul.

Where is Modern Dental Professionals, Minnesota PC located?

Modern Dental Professionals, Minnesota PC is located at 680 Southview Blvd., South Saint Paul, MN 55075. The listed phone number is (651) 455-2297.

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.

When was this NPI record last updated?

The NPPES record for Modern Dental Professionals, Minnesota PC was last updated on December 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.