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

Modern Dental Professionals Minnesota PC

Organization Dentist · NPI 1205286960

Modern Dental Professionals Minnesota PC provides Dentist services in Red Wing, Minnesota. Registered with an NPI since 2016.

In the registry since
2016
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

315 E Ave Ste 1
Red Wing, MN 55066-2567 Not confirmed with CMS for 10 years — call before visiting
Phone: (651) 388-1147
Fax: (651) 388-1140
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1205286960
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Moos — Owner · (715) 926-5050
Other names Midwest Dental
NPI enumeratedJune 14, 2016
Last updated in NPPESJune 14, 2016
Mailing address315 East Ave Ste 1, Red Wing, MN 55066-2567

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