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

Coon Rapids Modern Dentistry, PC

Organization Dentist · NPI 1295431138

Coon Rapids Modern Dentistry, PC is a Dentist in Coon Rapids, Minnesota. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

3320 124th Ave NW
Coon Rapids, MN 55433-1001
Phone: (763) 290-6623
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1295431138
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Parvathi Jithendranathan — Owner · (763) 290-6623
Other names Coon Rapids Modern Dentistry
NPI enumeratedFebruary 2, 2023
Last updated in NPPESFebruary 2, 2023
Certification dateFebruary 2, 2023
Mailing addressPo Box 920050, Dallas, TX 75392-0050

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