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

Modern Dental Professionals

Organization Dentist · NPI 1730788498

Modern Dental Professionals is a Dentist in Blaine, Minnesota. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

676 County Road 10 NE
Blaine, MN 55434-2329
Phone: (763) 780-5007
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 number1730788498
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brent Althoff — Credentialing Manager · (715) 203-4689
NPI enumeratedOctober 22, 2020
Last updated in NPPESOctober 22, 2020
Certification dateOctober 22, 2020
Mailing address676 County Road 10 Ne, Blaine, MN 55434-2329

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