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 1255639696

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

Licensed in
MN
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

1121 Town Centre Dr #200
Eagan, MN 55123-1199 Not confirmed with CMS for 15 years — call before visiting
Phone: (651) 454-4771
Fax: (651) 406-9298
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X (MN)

Record details

NPI number1255639696
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Myer — Cfo · (715) 926-5050
Other names Midwest Dental
NPI enumeratedMarch 9, 2011
Last updated in NPPESMarch 9, 2011
Mailing address1121 Town Centre Dr, 200, Eagan, MN 55123-1199

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