Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Modern Dental Professionals Minnesota PC

Organization General Practice Dentistry · NPI 1043589484

Modern Dental Professionals Minnesota PC provides General Practice Dentistry in Chisago City, Minnesota. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

29663 Gateway Ave
Chisago City, MN 55013-0339 Not confirmed with CMS for 14 years — call before visiting
Phone: (651) 257-3639
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1043589484
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Moos — Ceo · (715) 926-5050
Other names Midwest Dental - Chisago City
NPI enumeratedDecember 14, 2011
Last updated in NPPESDecember 14, 2011
Mailing address29663 Gateway Ave, Chisago City, MN 55013-0339

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